Dr Jonathan Dale Rosenboom, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Warsaw, Missouri. He graduated from medical school in 1984 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Compass Health Inc and his current practice location is
17571 N Dam Access Rd, Warsaw, Missouri. You can reach out to his office (for appointments etc.) via phone at
(888) 403-1071.
Dr Jonathan Dale Rosenboom is licensed to practice in Missouri (license number 01221) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679716864.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Dale Rosenboom |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 42 Years |
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| Location | 17571 N Dam Access Rd, Warsaw, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Dale Rosenboom graduated from medical school in 1984
NPI Data:
- NPI Number: 1679716864
- Provider Enumeration Date: 04/17/2009
- Last Update Date: 03/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648462531
- Enrollment ID: I20101011000700
Medical Identifiers
Medical identifiers for Dr Jonathan Dale Rosenboom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679716864 | NPI | - | NPPES |
| 0076557 | Other | MO | MISSOURI OFFICE OF ADMINISTRATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 01221 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Compass Health Inc | 1951206754 | 246 |
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 Jonathan Dale Rosenboom allows following entities to bill medicare on his behalf.
| Entity Name | Compass Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285619494
PECOS PAC ID: 1951206754
Enrollment ID: O20040408000955 |
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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 Jonathan Dale Rosenboom 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 |
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Dr Jonathan Dale Rosenboom, PSYD
1800 Community,
Clinton, MO 64735-8804
Ph: (660) 885-8131 | Dr Jonathan Dale Rosenboom, PSYD
17571 N Dam Access Rd,
Warsaw, MO 65355
Ph: (888) 403-1071 |
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