Michelle Theresa Jesse, PHD in Detroit, MI - Medicare Psychologist Provider

Michelle Theresa Jesse, PHD is a medicare enrolled "Psychologist - Clinical" provider in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-5243.

Michelle Theresa Jesse is licensed to practice in Michigan (license number 6301014633) 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 1003253253.

Contact Information

	Michelle Theresa Jesse, PHD
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-5243
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Theresa Jesse
Gender	Female
Speciality	Psychologist - Clinical
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003253253
Provider Enumeration Date: 05/29/2013
Last Update Date: 03/12/2021

Medicare PECOS Information:

PECOS PAC ID: 3678875374
Enrollment ID: I20231208001183

Medical Identifiers

Medical identifiers for Michelle Theresa Jesse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003253253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301014633 (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. Michelle Theresa Jesse allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Michelle Theresa Jesse 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
Michelle Theresa Jesse, PHD 4602 Mandalay Ave, Royal Oak, MI 48073-1624 Ph: (816) 304-5650	Michelle Theresa Jesse, PHD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-5243

Reviews and Comments

Psychologist in Detroit, MI

Marla Green Bartoi, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Jefferson Research Center, 2761 E Jefferson, Detroit, MI 48207 Phone: 888-362-7792
Mrs. Colleen Beth Verbeke, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4777 E Outer Dr, Detroit, MI 48234 Phone: 313-369-5000 Fax: 313-369-5545
Mariane Loeckner, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Ford Pl, Ste 1 C, Detroit, MI 48202 Phone: 313-876-7605
Melissa Moody, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 707 W Milwaukee St, Detroit, MI 48202 Phone: 313-410-4992
Dr. Brittney Devine Walsh, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-255-0900 Fax: 313-255-3465
Xiyu Cao, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4160 Woodward Ave Fl 2, Detroit, MI 48201 Phone: 313-656-4052

Michelle Theresa Jesse, PHD - Medicare Psychologist in Detroit, MI