Jimmy K Master, PSYD in Stony Brook, NY - Medicare Clinical Psychologist Provider

Jimmy K Master, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Stony Brook, New York. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor and his current practice location is 100 Nicolls Rd, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 632-9510.

Jimmy K Master is licensed to practice in New York (license number P13072) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164079802.

Contact Information

	Jimmy K Master, PSYD
	100 Nicolls Rd, Stony Brook, NY 11794-0001
	(631) 632-9510
	(631) 632-5870

Map and Direction

Healthcare Provider's Profile

Full Name	Jimmy K Master
Gender	Male
Speciality	Clinical Psychologist
Experience	6 Years
Location	100 Nicolls Rd, Stony Brook, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jimmy K Master graduated from medical school in 2018

NPI Data:

NPI Number: 1164079802
Provider Enumeration Date: 08/19/2019
Last Update Date: 08/19/2019

Medicare PECOS Information:

PECOS PAC ID: 3173853272
Enrollment ID: I20191002001096

Medical Identifiers

Medical identifiers for Jimmy K Master such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164079802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	P13072 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stony Brook Psychiatric Associates University Faculty Practice Corpor	7315836731	79

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. Jimmy K Master allows following entities to bill medicare on his behalf.

Entity Name	Stony Brook Psychiatric Associates University Faculty Practice Corpor
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174

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. Jimmy K Master 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
Jimmy K Master, PSYD Po Box 1554, Stony Brook, NY 11790-0988 Ph: (631) 444-2990	Jimmy K Master, PSYD 100 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 632-9510

Reviews and Comments

Psychologist in Stony Brook, NY

Dr. Clarissa Bullitt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Sbumc Hsc Level 10, Rm. 020, Stony Brook, NY 11794 Phone: 631-444-2990
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Dr. Joanne Davila, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 79 Christian Ave, Stony Brook, NY 11790 Phone: 631-632-7826
Greg Perlman, PHD Psychologist Medicare: Medicare Enrolled Practice Location: Stony Brook University Health Science Center 10-60g, Stony Brook, NY 11794 Phone: 631-638-1922
Ms. Violet Ann Mandracchia, MA CEAS LCSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15 Shore Oaks Drive, Stony Brook, NY 11790 Phone: 212-979-5650
Dr. Veronique Regina Deutsch-anzalone, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Nicolls Rd Dept Of, Stony Brook, NY 11794 Phone: 631-632-2428

Jimmy K Master, PSYD - Medicare Psychologist in Stony Brook, NY