Timothy Jandro, LP in Minneapolis, MN - Medicare Psychologist Provider

Timothy Jandro, LP is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. His current practice location is 1113 E Franklin Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 872-8086.

Timothy Jandro is licensed to practice in Minnesota (license number LP6430) 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 1255976437.

Contact Information

	Timothy Jandro, LP
	1113 E Franklin Ave, Minneapolis, MN 55404-2974
	(612) 872-8086
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Jandro
Gender	Male
Speciality	Psychologist
Location	1113 E Franklin Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255976437
Provider Enumeration Date: 11/12/2019
Last Update Date: 11/12/2019

Medicare PECOS Information:

PECOS PAC ID: 9436582459
Enrollment ID: I20191205002064

Medical Identifiers

Medical identifiers for Timothy Jandro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255976437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP6430 (Minnesota)	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. Timothy Jandro allows following entities to bill medicare on his behalf.

Entity Name	Native American Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932258845 PECOS PAC ID: 8224921978 Enrollment ID: O20040205000844

Entity Name	Native American Community Clinic
Entity Type	Part A Provider - Federally Qualified Health Center (fqhc)
Entity Identifiers	NPI Number: 1730366600 PECOS PAC ID: 8224921978 Enrollment ID: O20200706001319

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. Timothy Jandro 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
Timothy Jandro, LP 1113 E Franklin Ave, Minneapolis, MN 55404-2974 Ph: (612) 872-8086	Timothy Jandro, LP 1113 E Franklin Ave, Minneapolis, MN 55404-2974 Ph: (612) 872-8086

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Timothy Jandro, LP - Medicare Psychologist in Minneapolis, MN