Dr Jeffrey Theodore Boston, PSYD in Saint Paul, MN

Dr Jeffrey Theodore Boston, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Saint Paul, Minnesota. His current practice location is 821 Raymond Ave, Suite 150, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 642-9741.

Dr Jeffrey Theodore Boston is licensed to practice in Minnesota (license number LP3768) 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 1649394156.

Contact Information

	Dr Jeffrey Theodore Boston, PSYD
	821 Raymond Ave, Suite 150, Saint Paul, MN 55114-1503
	(651) 642-9741
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Theodore Boston
Gender	Male
Speciality	Psychologist - Clinical
Location	821 Raymond Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649394156
Provider Enumeration Date: 03/19/2007
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 0446245468
Enrollment ID: I20040419001143

Medical Identifiers

Medical identifiers for Dr Jeffrey Theodore Boston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649394156	NPI	-	NPPES
245L9BO	Other	MN	BLUE CROSS BLUE SHIELD
184314100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP3768 (Minnesota)	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 Jeffrey Theodore Boston allows following entities to bill medicare on his behalf.

Entity Name	Natalis Outcomes, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558761981 PECOS PAC ID: 1557790144 Enrollment ID: O20200402001085

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 Jeffrey Theodore Boston 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 Jeffrey Theodore Boston, PSYD 1821 University Ave W, Ste 155, Saint Paul, MN 55104-2880 Ph: () -	Dr Jeffrey Theodore Boston, PSYD 821 Raymond Ave, Suite 150, Saint Paul, MN 55114-1503 Ph: (651) 642-9741

Reviews and Comments

Psychologist in Saint Paul, MN

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Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176

Dr Jeffrey Theodore Boston, PSYD - Medicare Psychologist in Saint Paul, MN