Jacob Brown, in Zeeland, MI - Medicare Psychologist Provider

Jacob Brown, is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Zeeland, Michigan. His current practice location is 201 W Washington Ave Ste 280, Zeeland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 259-5452.

Jacob Brown is licensed to practice in Michigan (license number 6362009526) 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 1114770658.

Contact Information

	Jacob Brown,
	201 W Washington Ave Ste 280, Zeeland, MI 49464-1074
	(616) 259-5452
	(616) 236-0875

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Brown
Gender	Male
Speciality	Psychologist - Cognitive & Behavioral
Location	201 W Washington Ave Ste 280, Zeeland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114770658
Provider Enumeration Date: 04/05/2024
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1355885955
Enrollment ID: I20240807004532

Medical Identifiers

Medical identifiers for Jacob Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114770658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	6362009526 (Michigan)	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. Jacob Brown allows following entities to bill medicare on his behalf.

Entity Name	Headwaters Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184172272 PECOS PAC ID: 8123374667 Enrollment ID: O20180713000193

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. Jacob Brown 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
Jacob Brown, 201 W Washington Ave Ste 280, Zeeland, MI 49464-1074 Ph: (616) 259-5452	Jacob Brown, 201 W Washington Ave Ste 280, Zeeland, MI 49464-1074 Ph: (616) 259-5452

Reviews and Comments

Psychologist in Zeeland, MI

Dr. Keith Anthony Louwerse, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 201 W Washington Ave Ste 280, Zeeland, MI 49464 Phone: 616-259-5452 Fax: 616-236-0875
Sarah Jean Muench, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 156 W Washington Ave, Zeeland, MI 49464 Phone: 833-342-4552
Bradley Jon Oostindie, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 S State St Ste 13, Zeeland, MI 49464 Phone: 800-850-0535
Thomas A Karel, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-741-3790
Emily Anne Ellens, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 S State St Ste 13, Zeeland, MI 49464 Phone: 616-772-1733
Melissa Ann Vanorman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-741-3790

Jacob Brown, - Medicare Psychologist in Zeeland, MI