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

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 NameMichelle Theresa Jesse
GenderFemale
SpecialityPsychologist - Clinical
Location55 Whitcher St Ne Ste 420, Marietta, Georgia
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1003253253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY004749 (Georgia)Primary
103TC0700XPsychologist - 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 NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.