Mr Michael John Jarzombek, MA is a medicare enrolled "Psychologist" provider in Manchester, New Hampshire. He graduated from healthcare school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice State Of New Hampshire and his current practice location is
30 Canton St, Suite 13, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 625-1670.
Mr Michael John Jarzombek is licensed to practice in New Hampshire (license number 1282) 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 1285721951.
Healthcare Provider's Profile
| Full Name | Mr Michael John Jarzombek |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 30 Canton St, Manchester, New Hampshire |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Michael John Jarzombek graduated from medical school in 2010
NPI Data:
- NPI Number: 1285721951
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 04/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 4284880568
- Enrollment ID: I20120802000540
Medical Identifiers
Medical identifiers for Mr Michael John Jarzombek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285721951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 601 (New Hampshire) | Secondary |
| 103T00000X | Psychologist | 1282 (New Hampshire) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of New Hampshire | 3870530579 | 46 |
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 Michael John Jarzombek allows following entities to bill medicare on his behalf.
| Entity Name | State Of New Hampshire |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861491334
PECOS PAC ID: 3870530579
Enrollment ID: O20050414000166 |
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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. Mr Michael John Jarzombek 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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Mr Michael John Jarzombek, MA
282 Quaker St,
Weare, NH 03281-4514
Ph: (603) 529-1446 | Mr Michael John Jarzombek, MA
30 Canton St, Suite 13,
Manchester, NH 03103-3524
Ph: (603) 625-1670 |
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