Michelle Theresa Jesse, PHD in Marietta, GA - Medicare Psychologist Provider

Michelle Theresa Jesse, PHD is a medicare enrolled "Psychologist - Clinical" provider in Marietta, Georgia. Her current practice location is 55 Whitcher St Ne Ste 420, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 514-6760.

Michelle Theresa Jesse is licensed to practice in Georgia (license number PSY004749) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003253253.

Contact Information

	Michelle Theresa Jesse, PHD
	55 Whitcher St Ne Ste 420, Marietta, GA 30060-1171
	(770) 514-6760
	(770) 794-8034

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Theresa Jesse
Gender	Female
Speciality	Psychologist - Clinical
Location	55 Whitcher St Ne Ste 420, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003253253
Provider Enumeration Date: 05/29/2013
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3678875374
Enrollment ID: I20231208001183

Medical Identifiers

Medical identifiers for Michelle Theresa Jesse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003253253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY004749 (Georgia)	Primary
103TC0700X	Psychologist - Clinical	6301014633 (Michigan)	Secondary

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. Michelle Theresa Jesse allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Michelle Theresa Jesse 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
Michelle Theresa Jesse, PHD 55 Whitcher St Ne Ste 420, Marietta, GA 30060-1171 Ph: (770) 514-6760	Michelle Theresa Jesse, PHD 55 Whitcher St Ne Ste 420, Marietta, GA 30060-1171 Ph: (770) 514-6760

Reviews and Comments

Psychologist in Marietta, GA

Dr. Jeffrey John Pipe, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 Church St Ne, Suite 350, Marietta, GA 30060 Phone: 770-425-8275 Fax: 770-425-8276
Dr. Helen Barnes Vantine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 Kennesaw Ave Nw, Ste 700, Marietta, GA 30060 Phone: 770-424-0033 Fax: 770-424-7744
Dr. Lisa B Story, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4343 Shallowford Rd, Suite E1, Marietta, GA 30062 Phone: 678-237-1827 Fax: 678-868-1808
Dr. Rena Beth Zweben, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3115 Roswell Rd, Suite 201, Marietta, GA 30062 Phone: 678-560-7755 Fax: 678-560-9976
Dr. Rachel Feit, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne Ste 420, Marietta, GA 30060 Phone: 770-514-6760 Fax: 770-794-8034
Dr. Cheryl Anderson Williams, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2625 Sandy Plains Rd, Suite 104, Marietta, GA 30066 Phone: 770-509-3711 Fax: 770-509-3799

Michelle Theresa Jesse, PHD - Medicare Psychologist in Marietta, GA