Dr Jack H Stevens, PHD in Columbus, OH - Medicare Psychologist Provider

Dr Jack H Stevens, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Columbus, Ohio. His current practice location is 700 Children's Drive J West 4th Floor, Nationwide Children's Hospital, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 722-4700.

Dr Jack H Stevens is licensed to practice in Ohio (license number 5848) 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 1346372778.

Contact Information

	Dr Jack H Stevens, PHD
	700 Children's Drive J West 4th Floor, Nationwide Children's Hospital, Columbus, OH 43205-2664
	(614) 722-4700
	(614) 722-4718

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack H Stevens
Gender	Male
Speciality	Psychologist - Clinical Child & Adolescent
Location	700 Children's Drive J West 4th Floor, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346372778
Provider Enumeration Date: 03/12/2007
Last Update Date: 04/05/2022

Medicare PECOS Information:

PECOS PAC ID: 9335545920
Enrollment ID: I20210907003007

Medical Identifiers

Medical identifiers for Dr Jack H Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346372778	NPI	-	NPPES
1473276	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	5848 (Ohio)	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 Jack H Stevens allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

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 Jack H Stevens 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
Dr Jack H Stevens, PHD Department 781629, Detroit, MI 48278-1629 Ph: (614) 355-8004	Dr Jack H Stevens, PHD 700 Children's Drive J West 4th Floor, Nationwide Children's Hospital, Columbus, OH 43205-2664 Ph: (614) 722-4700

Reviews and Comments

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Dr Jack H Stevens, PHD - Medicare Psychologist in Columbus, OH