Jia Jian Tin, PHD in La Crosse, WI - Medicare Psychologist Provider

Jia Jian Tin, PHD is a medicare enrolled "Psychologist" provider in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Jia Jian Tin is licensed to practice in Wisconsin (license number 4071-57) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417536814.

Contact Information

	Jia Jian Tin, PHD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jia Jian Tin
Gender	Male
Speciality	Psychologist
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417536814
Provider Enumeration Date: 04/05/2021
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 5698142586
Enrollment ID: I20221107000764

Medical Identifiers

Medical identifiers for Jia Jian Tin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417536814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4071-57 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jia Jian Tin allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jia Jian Tin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jia Jian Tin, PHD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Jia Jian Tin, PHD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Psychologist in La Crosse, WI

Dr. Michael David Smith, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Carol Goulet, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 507-284-1373
Michelle Mcelligott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Meganruth Christine Schumacher-martinez, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2920 East Ave S Ste 100, La Crosse, WI 54601 Phone: 608-218-4234
Maria C Graf, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Verne E Lewis, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Kevin M Boland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467

Jia Jian Tin, PHD - Medicare Psychologist in La Crosse, WI