Mr Justin Robert Bangert, MFT in Madison, WI - Medicare Marriage & Family Therapist Provider

Mr Justin Robert Bangert, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Madison, Wisconsin. His current practice location is 5310 Wall St., Ste #500, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 274-8294.

Mr Justin Robert Bangert is licensed to practice in Wisconsin (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 1801022850.

Contact Information

	Mr Justin Robert Bangert, MFT
	5310 Wall St., Ste #500, Madison, WI 53718
	(608) 274-8294
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Justin Robert Bangert
Gender	Male
Speciality	Marriage & Family Therapist
Location	5310 Wall St., Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801022850
Provider Enumeration Date: 06/04/2009
Last Update Date: 06/04/2009

Medicare PECOS Information:

PECOS PAC ID: 1153861158
Enrollment ID: I20240905000562

Medical Identifiers

Medical identifiers for Mr Justin Robert Bangert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801022850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(Wisconsin)	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 Justin Robert Bangert allows following entities to bill medicare on his behalf.

Entity Name	Psychology Clinic Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336222769 PECOS PAC ID: 0143216747 Enrollment ID: O20040421000182

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 Justin Robert Bangert 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 Justin Robert Bangert, MFT 5310 Wall St., Ste #500, Madison, WI 53718 Ph: (608) 274-8294	Mr Justin Robert Bangert, MFT 5310 Wall St., Ste #500, Madison, WI 53718 Ph: (608) 274-8294

Reviews and Comments

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Mr Justin Robert Bangert, MFT - Medicare Couples Therapy in Madison, WI