Mr Jere W Leib, PHD in Fort Wayne, IN - Medicare Clinical Psychologist Provider

Mr Jere W Leib, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Psychological Service Associates, Inc and his current practice location is 3421 E State Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 482-8427.

Mr Jere W Leib is licensed to practice in Indiana (license number 20010181) 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 1457350506.

Contact Information

	Mr Jere W Leib, PHD
	3421 E State Blvd, Fort Wayne, IN 46805-4830
	(260) 482-8427
	(260) 482-8429

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jere W Leib
Gender	Male
Speciality	Clinical Psychologist
Experience	54 Years
Location	3421 E State Blvd, Fort Wayne, Indiana
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:

Mr Jere W Leib graduated from medical school in 1970

NPI Data:

NPI Number: 1457350506
Provider Enumeration Date: 07/20/2005
Last Update Date: 08/12/2008

Medicare PECOS Information:

PECOS PAC ID: 0648245175
Enrollment ID: I20041001000640

Medical Identifiers

Medical identifiers for Mr Jere W Leib such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457350506	NPI	-	NPPES
100053650	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20010181 (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychological Service Associates, Inc	3476528902	3

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. Mr Jere W Leib allows following entities to bill medicare on his behalf.

Entity Name	Psychological Service Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558441063 PECOS PAC ID: 3476528902 Enrollment ID: O20040830000075

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. Mr Jere W Leib 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
Mr Jere W Leib, PHD 3421 E State Blvd, Fort Wayne, IN 46805-4830 Ph: (260) 482-8427	Mr Jere W Leib, PHD 3421 E State Blvd, Fort Wayne, IN 46805-4830 Ph: (260) 482-8427

Reviews and Comments

Psychologist in Fort Wayne, IN

Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559

Mr Jere W Leib, PHD - Medicare Psychologist in Fort Wayne, IN