Mr Jason Domenic Dollard, MFT in Providence, RI - Medicare Marriage & Family Therapist Provider

Mr Jason Domenic Dollard, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Providence, Rhode Island. His current practice location is 178 Broadway, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 525-6111.

Mr Jason Domenic Dollard is licensed to practice in * (Not Available) (license number ) 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 1316596547.

Contact Information

	Mr Jason Domenic Dollard, MFT
	178 Broadway, Providence, RI 02903-3014
	(401) 525-6111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jason Domenic Dollard
Gender	Male
Speciality	Marriage & Family Therapist
Location	178 Broadway, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316596547
Provider Enumeration Date: 09/10/2019
Last Update Date: 09/10/2019

Medicare PECOS Information:

PECOS PAC ID: 0941722680
Enrollment ID: I20250321002754

Medical Identifiers

Medical identifiers for Mr Jason Domenic Dollard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316596547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	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 Jason Domenic Dollard allows following entities to bill medicare on his behalf.

Entity Name	Jason Dollard And Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104539618 PECOS PAC ID: 9032631775 Enrollment ID: O20250321002667

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 Jason Domenic Dollard 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 Jason Domenic Dollard, MFT 178 Broadway, Providence, RI 02903-3014 Ph: (401) 525-6111	Mr Jason Domenic Dollard, MFT 178 Broadway, Providence, RI 02903-3014 Ph: (401) 525-6111

Reviews and Comments

Marriage & Family Therapist in Providence, RI

Sandra Powers, LMHC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 208 Governor St, Providence, RI 02906 Phone: 401-490-3563 Fax: 401-490-3563
Elizabeth M Briggs, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 261 Wickenden St, Providence, RI 02903 Phone: 401-301-5638
Paul C. Deffely, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500
Ms. Amy Elizabeth Feucht Hogarth, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 198 Waterman St, Providence, RI 02906 Phone: 508-808-3910
Marta Iachetta, M.ED., LMFT, CSAC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-286-3741
David Gardner, LMFT-A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 55 Hope St, Providence, RI 02906 Phone: 401-331-1350
Mr. Bryan Mercier, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 55 Hope St, Providence, RI 02906 Phone: 401-331-1350

Mr Jason Domenic Dollard, MFT - Medicare Couples Therapy in Providence, RI