Matthew David Jandrisevits, PHD in Milwaukee, WI - Medicare Psychologist Provider

Matthew David Jandrisevits, PHD is a medicare enrolled "Psychologist" provider in Milwaukee, Wisconsin. His current practice location is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 266-2932.

Matthew David Jandrisevits is licensed to practice in Wisconsin (license number 2678057) 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 1740477751.

Contact Information

	Matthew David Jandrisevits, PHD
	9000 W Wisconsin Ave, Milwaukee, WI 53226-4874
	(414) 266-2932
	(414) 266-3735

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew David Jandrisevits
Gender	Male
Speciality	Psychologist
Location	9000 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740477751
Provider Enumeration Date: 10/03/2007
Last Update Date: 05/07/2021

Medicare PECOS Information:

PECOS PAC ID: 8729496369
Enrollment ID: I20210420000554

Medical Identifiers

Medical identifiers for Matthew David Jandrisevits such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740477751	NPI	-	NPPES
1740477751	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2678057 (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. Matthew David Jandrisevits allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Matthew David Jandrisevits 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
Matthew David Jandrisevits, PHD 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-2932	Matthew David Jandrisevits, PHD 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-2932

Reviews and Comments

Psychologist in Milwaukee, WI

Dr. Donald Raymond Hands, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6500 N Elm Tree Rd, Milwaukee, WI 53217 Phone: 262-617-8574
Jeralee Briggs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000
Dr. Steven Byers, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7306 N 43rd St, Milwaukee, WI 53209 Phone: 262-957-6204
Dr. Michael Dimarco Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Third Floor, Milwaukee, WI 53226 Phone: 414-955-8900 Fax: 414-955-6285
Alissa M Butts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5660
Dr. Lari Mikel Meyer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1219 N Cass St, Milwaukee, WI 53202 Phone: 414-291-9487
Dr. David Baruch, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Building 43, Milwaukee, WI 53295 Phone: 414-384-2000

Matthew David Jandrisevits, PHD - Medicare Psychologist in Milwaukee, WI