Dr Jaisselle Marie Vega Rosaly, PHD in Ponce, PR - Medicare Clinical Psychologist Provider

Dr Jaisselle Marie Vega Rosaly, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Ponce, Puerto Rico. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mente Activa and her current practice location is 775 Calle Caoba, Centro Comercial Los Caobos, Suite 6, Ponce, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 677-0503.

Dr Jaisselle Marie Vega Rosaly is licensed to practice in Puerto Rico (license number 5738) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104379320.

Contact Information

	Dr Jaisselle Marie Vega Rosaly, PHD
	775 Calle Caoba, Centro Comercial Los Caobos, Suite 6, Ponce, PR 00716-2610
	(787) 677-0503
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jaisselle Marie Vega Rosaly
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	775 Calle Caoba, Ponce, Puerto Rico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jaisselle Marie Vega Rosaly graduated from medical school in 2013

NPI Data:

NPI Number: 1104379320
Provider Enumeration Date: 07/25/2016
Last Update Date: 07/25/2016

Medicare PECOS Information:

PECOS PAC ID: 3173896669
Enrollment ID: I20171215002309

Medical Identifiers

Medical identifiers for Dr Jaisselle Marie Vega Rosaly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104379320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	5738 (Puerto Rico)	Primary
103TC0700X	Psychologist - Clinical	5738 (Puerto Rico)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mente Activa	5092088583	2

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 Jaisselle Marie Vega Rosaly allows following entities to bill medicare on her behalf.

Entity Name	Mente Activa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023561230 PECOS PAC ID: 5092088583 Enrollment ID: O20170905002421

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 Jaisselle Marie Vega Rosaly 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 Jaisselle Marie Vega Rosaly, PHD 775 Calle Caoba, Centro Comercial Los Caobos, Suite 6, Ponce, PR 00716-2610 Ph: (787) 677-0503	Dr Jaisselle Marie Vega Rosaly, PHD 775 Calle Caoba, Centro Comercial Los Caobos, Suite 6, Ponce, PR 00716-2610 Ph: (787) 677-0503

Reviews and Comments

Psychologist in Ponce, PR

Dr. Benny Rodriguez, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vista Alegre Fortuna St., 2054, Ponce, PR 00717 Phone: 787-299-0708
Dr. Norma Enid Ramos Solla, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Montemar Apts # 1523, Ave Las Brisas Apto 124, Ponce, PR 00728 Phone: 787-929-5280
Juliette Rivera, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2403 Paseo De La Reina, Ponce, PR 00716 Phone: 787-601-7485
Dr. Orlando Javier Ostolaza, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7490 Perpetuo Socorro, Santa Maria, Ponce, PR 00717 Phone: 787-601-5284
Dr. Ariel Chardon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5145 Calle Reniforme, Jardines Del Caribe 5ta, Ponce, PR 00728 Phone: 939-282-2269
Zilkia Enid Maldonado, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 73 Calle Central, Bo. Clausells, Ponce, PR 00731 Phone: 787-649-0625
Dr. Hilkamida Del Carmen Dominguez Martinez, DC Psychologist Medicare: Not Enrolled in Medicare Practice Location: Number 2 Ana D Perez Marshand Street, Industrial Reparada, Ponce, PR 00732 Phone: 787-840-0052 Fax: 787-284-3619

Dr Jaisselle Marie Vega Rosaly, PHD - Medicare Psychologist in Ponce, PR