Dr Wanmdiwi Jessi Rose, PHD in Great Falls, MT - Medicare Psychologist Provider

Dr Wanmdiwi Jessi Rose, PHD is a medicare enrolled "Psychologist" provider in Great Falls, Montana. Her current practice location is 600 Central Ave Ste 311, Great Falls, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 866-0013.

Dr Wanmdiwi Jessi Rose is licensed to practice in Montana (license number PSY-PSY-LIC-2506) 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 1730687518.

Contact Information

	Dr Wanmdiwi Jessi Rose, PHD
	600 Central Ave Ste 311, Great Falls, MT 59401-3157
	(406) 866-0013
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wanmdiwi Jessi Rose
Gender	Female
Speciality	Psychologist
Location	600 Central Ave Ste 311, Great Falls, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730687518
Provider Enumeration Date: 01/26/2018
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 0244607695
Enrollment ID: I20221027003273

Medical Identifiers

Medical identifiers for Dr Wanmdiwi Jessi Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730687518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY60720535 (Washington)	Secondary
103T00000X	Psychologist	PSY-PSY-LIC-2506 (Montana)	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. Dr Wanmdiwi Jessi Rose allows following entities to bill medicare on her behalf.

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20200729003952

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. Dr Wanmdiwi Jessi Rose 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
Dr Wanmdiwi Jessi Rose, PHD 300 Poplar Ln, Florence, MT 59833-6834 Ph: (713) 494-3341	Dr Wanmdiwi Jessi Rose, PHD 600 Central Ave Ste 311, Great Falls, MT 59401-3157 Ph: (406) 866-0013

Reviews and Comments

Psychologist in Great Falls, MT

Mr. Brett E Gilleo, LCPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1601 2nd Ave N, Suite 342, Great Falls, MT 59401 Phone: 406-240-2045 Fax: 406-545-2276
Stephanie Larson Burcusa, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 15th Ave S Ste 205, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8876
John Hamilton, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 400 15th Ave S, Great Falls, MT 59405 Phone: 406-731-8888
Dr. Robin Lynn Treptow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1601 2nd Ave N Ste 623, Great Falls, MT 59401 Phone: 406-899-1548
Lori A Ashton, LAC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1220 Central Ave Ste 1-b, Great Falls, MT 59401 Phone: 406-268-1572 Fax: 406-268-1572
Dr. Betsy Rushworth, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 906 7th St S, Great Falls, MT 59405 Phone: 406-727-2143 Fax: 406-727-9101
Kendal Chris Southall, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 2nd St S, Great Falls, MT 59405 Phone: 406-727-0066 Fax: 406-452-9040

Dr Wanmdiwi Jessi Rose, PHD - Medicare Psychologist in Great Falls, MT