Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC - Medicare Nurse Practitioner in East Lansing, MI

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Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in East Lansing, Michigan. His current practice location is 804 Service Rd Ste A110, East Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 353-8122.

Dr Jay Randall Gottschalk is licensed to practice in Michigan (license number 4704296264) 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 1437660248.

Contact Information

Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC
804 Service Rd Ste A110,
East Lansing, MI 48824-7015
(517) 353-8122
(517) 432-3713

Map and Direction




Provider's Profile

Full NameDr Jay Randall Gottschalk
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location804 Service Rd Ste A110, East Lansing, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437660248
  • Provider Enumeration Date: 10/19/2017
  • Last Update Date: 02/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951779271
  • Enrollment ID: I20221117002075

Medical Identifiers

Medical identifiers for Dr Jay Randall Gottschalk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437660248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 4704296264 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704296264 (Michigan)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 Jay Randall Gottschalk allows following entities to bill medicare on his behalf.
Entity NameCristo Rey Community Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407800931
PECOS PAC ID: 2365345576
Enrollment ID: O20040830000021
Entity NameMsu Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700418670
PECOS PAC ID: 8628404936
Enrollment ID: O20200518002744
Entity NameMichigan Advanced Psychiatry, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629686837
PECOS PAC ID: 2567877574
Enrollment ID: O20210224000966

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 Jay Randall Gottschalk 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 AddressPractice Location Address
Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC
804 Service Rd Ste A109b,
East Lansing, MI 48824-7015

Ph: (517) 353-3070		Dr Jay Randall Gottschalk, PHD, APRN, PMHNP-BC
804 Service Rd Ste A110,
East Lansing, MI 48824-7015

Ph: (517) 353-8122

Reviews and Comments


Nurse Practitioner Nurses in East Lansing, MI

Paul Folk,
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Phone: 800-605-6424    
Mr. Benjamin Owen Marshall, MSN, FNP-BC, CPHQ
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Practice Location: 3500 Coolidge Rd, East Lansing, MI 48823
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Lindsey Ford, NP
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Phone: 517-353-4941    Fax: 517-432-3145
Kayeleigh Annemarie Brown, FNP-C
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Phone: 517-432-5033    
Kelsey Garred, NP
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Medicare: Medicare Enrolled
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Phone: 517-339-1676    Fax: 517-339-2716
Mackenzie Darr, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1355 Bogue St, East Lansing, MI 48824
Phone: 800-605-6424    
Ms. April Paulette Morris, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 804 Service Rd, A217, East Lansing, MI 48824
Phone: 517-353-8122    Fax: 517-432-3713

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.