Dr Wanmdiwi Jessi Rose, PHD - Medicare Psychologist in Great Falls, MT

Dr Wanmdiwi Jessi Rose, PHD is a medicare enrolled "Psychologist" provider in Great Falls, Montana. Her current practice location is 600 Central Ave Ste 311, Great Falls, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 866-0013.

Dr Wanmdiwi Jessi Rose is licensed to practice in Montana (license number PSY-PSY-LIC-2506) 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 1730687518.

Contact Information

Dr Wanmdiwi Jessi Rose, PHD
600 Central Ave Ste 311,
Great Falls, MT 59401-3157
(406) 866-0013
Not Available



Healthcare Provider's Profile

Full NameDr Wanmdiwi Jessi Rose
GenderFemale
SpecialityPsychologist
Location600 Central Ave Ste 311, Great Falls, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730687518
  • Provider Enumeration Date: 01/26/2018
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0244607695
  • Enrollment ID: I20221027003273

Medical Identifiers

Medical identifiers for Dr Wanmdiwi Jessi Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730687518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY60720535 (Washington)Secondary
103T00000XPsychologist PSY-PSY-LIC-2506 (Montana)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 Wanmdiwi Jessi Rose allows following entities to bill medicare on her behalf.
Entity NameDoctor On Demand Professionals P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174931448
PECOS PAC ID: 9436464567
Enrollment ID: O20200729003952

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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 Wanmdiwi Jessi Rose 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 Wanmdiwi Jessi Rose, PHD
300 Poplar Ln,
Florence, MT 59833-6834

Ph: (713) 494-3341
Dr Wanmdiwi Jessi Rose, PHD
600 Central Ave Ste 311,
Great Falls, MT 59401-3157

Ph: (406) 866-0013

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Psychologist in Great Falls, MT

Mr. Brett E Gilleo, LCPC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 2nd Ave N, Suite 342, Great Falls, MT 59401
Phone: 406-240-2045    Fax: 406-545-2276
Stephanie Larson Burcusa, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 400 15th Ave S Ste 205, Great Falls, MT 59405
Phone: 406-731-8888    Fax: 406-731-8876
John Hamilton, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 400 15th Ave S, Great Falls, MT 59405
Phone: 406-731-8888    
Dr. Robin Lynn Treptow, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 2nd Ave N Ste 623, Great Falls, MT 59401
Phone: 406-899-1548    
Lori A Ashton, LAC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Central Ave Ste 1-b, Great Falls, MT 59401
Phone: 406-268-1572    Fax: 406-268-1572
Dr. Betsy Rushworth, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 906 7th St S, Great Falls, MT 59405
Phone: 406-727-2143    Fax: 406-727-9101
Kendal Chris Southall, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 800 2nd St S, Great Falls, MT 59405
Phone: 406-727-0066    Fax: 406-452-9040

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