Mr Ricky Lee Jentons, MALLP in Dearborn, MI - Medicare Psychologist Provider

Mr Ricky Lee Jentons, MALLP is a medicare enrolled "Psychologist - Clinical" provider in Dearborn, Michigan. His current practice location is 18181 Oakwood Blvd, 311, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 271-8170.

Mr Ricky Lee Jentons is licensed to practice in Michigan (license number 6301005971) 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 1922297076.

Contact Information

	Mr Ricky Lee Jentons, MALLP
	18181 Oakwood Blvd, 311, Dearborn, MI 48124-5032
	(313) 271-8170
	(313) 271-8353

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ricky Lee Jentons
Gender	Male
Speciality	Psychologist - Clinical
Location	18181 Oakwood Blvd, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922297076
Provider Enumeration Date: 10/15/2007
Last Update Date: 05/20/2008

Medicare PECOS Information:

PECOS PAC ID: 0042596496
Enrollment ID: I20170419001194

Medical Identifiers

Medical identifiers for Mr Ricky Lee Jentons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922297076	NPI	-	NPPES
0N15280	Other	MI	APEX BEHAVIORAL HEALTH P.L.L.C. MEDICARE GROUP PIN NO.
6301005971	Other	MI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	6301005971 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301005971 (Michigan)	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. Mr Ricky Lee Jentons allows following entities to bill medicare on his behalf.

Entity Name	Victor M. Cruz Md, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023036514 PECOS PAC ID: 3375604952 Enrollment ID: O20081202000484

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 Ricky Lee Jentons 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 Ricky Lee Jentons, MALLP 18181 Oakwood Blvd, 311, Dearborn, MI 48124-5032 Ph: (313) 271-8170	Mr Ricky Lee Jentons, MALLP 18181 Oakwood Blvd, 311, Dearborn, MI 48124-5032 Ph: (313) 271-8170

Reviews and Comments

Psychologist in Dearborn, MI

Sara Pierce, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653
Dr. Maritaconstance Supan, PH.D., LLP, DAPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 Mason St, Dearborn, MI 48124 Phone: 313-278-8053 Fax: 313-278-8053

Mr Ricky Lee Jentons, MALLP - Medicare Psychologist in Dearborn, MI