Dr Jane Royse Roskowski, PHD, LP, LPC is a medicare enrolled "Psychologist - Clinical" provider in Minnetonka, Minnesota. She graduated from healthcare school in 2009 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Nystrom And Associates Ltd and her current practice location is
13100 Wayzata Blvd Ste 200, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 206-2040.
Dr Jane Royse Roskowski is licensed to practice in Minnesota (license number LP5637) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932443009.
Healthcare Provider's Profile
| Full Name | Dr Jane Royse Roskowski |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 16 Years |
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| Location | 13100 Wayzata Blvd Ste 200, Minnetonka, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jane Royse Roskowski graduated from medical school in 2009
NPI Data:
- NPI Number: 1932443009
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 06/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 1153575923
- Enrollment ID: I20130201000066
Medical Identifiers
Medical identifiers for Dr Jane Royse Roskowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932443009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADC 4441 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC000514 (Puerto Rico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4279 (North Carolina) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP5637 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nystrom And Associates Ltd | 6406752492 | 459 |
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 Jane Royse Roskowski allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592 |
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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 Jane Royse Roskowski 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 |
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Dr Jane Royse Roskowski, PHD, LP, LPC
5320 Hyland Greens Dr,
Bloomington, MN 55437-3934
Ph: (952) 993-2400 | Dr Jane Royse Roskowski, PHD, LP, LPC
13100 Wayzata Blvd Ste 200,
Minnetonka, MN 55305-1810
Ph: (952) 206-2040 |
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