Dr Roger H Belisle, PHD is a
Psychologist - Forensic based in Ellsworth Afb, South Dakota. Dr Roger H Belisle is licensed to practice in * (Not Available) (license number ) and his current practice location is
2900 Doolittle Dr, Ellsworth Afb, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 385-3656.
NPI number for Dr Roger H Belisle is 1396047270 and his current mailing address is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396047270.
Healthcare Provider's Profile
| Full Name | Dr Roger H Belisle |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Forensic |
|---|
| Location | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396047270
- Provider Enumeration Date: 11/24/2010
- Last Update Date: 07/25/2023
Medical Identifiers
Medical identifiers for Dr Roger H Belisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396047270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 577 (South Dakota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810004580 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 36625 (Texas) | Secondary |
| 103TF0200X | Psychologist - Forensic | 577 (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | 0810004580 (Virginia) | Secondary |
| 103TF0200X | Psychologist - Forensic | 36625 (Texas) | Secondary |
| 103TF0200X | Psychologist - Forensic | 577 (South Dakota) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Primary |
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 Roger H Belisle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Roger H Belisle, PHD
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
Ph: (605) 385-3656 | Dr Roger H Belisle, PHD
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
Ph: (605) 385-3656 |
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