Dr Jessica K Dodge, PHD, LP, BCBA - Medicare Psychologist in Minneapolis, MN

Dr Jessica K Dodge, PHD, LP, BCBA is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Her current practice location is 3333 University Ave Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 767-6964.

Dr Jessica K Dodge is licensed to practice in Minnesota (license number LP6028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205383676.

Contact Information

Dr Jessica K Dodge, PHD, LP, BCBA
3333 University Ave Se,
Minneapolis, MN 55414-3325
(952) 767-6964
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jessica K Dodge
GenderFemale
SpecialityPsychologist
Location3333 University Ave Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205383676
  • Provider Enumeration Date: 09/02/2016
  • Last Update Date: 09/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8527461318
  • Enrollment ID: I20210730003155

Medical Identifiers

Medical identifiers for Dr Jessica K Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205383676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP6028 (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 Jessica K Dodge allows following entities to bill medicare on her behalf.
Entity NameFraser Child And Family Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609922194
PECOS PAC ID: 3971918772
Enrollment ID: O20210208002399

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 Jessica K Dodge 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 Jessica K Dodge, PHD, LP, BCBA
3333 University Ave Se,
Minneapolis, MN 55414-3325

Ph: () -
Dr Jessica K Dodge, PHD, LP, BCBA
3333 University Ave Se,
Minneapolis, MN 55414-3325

Ph: (952) 767-6964

Reviews and Comments


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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.

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