Jimmy K Master, PSYD - Medicare Psychologist in Stony Brook, NY

Jimmy K Master, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Stony Brook, New York. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor and his current practice location is 100 Nicolls Rd, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 632-9510.

Jimmy K Master is licensed to practice in New York (license number P13072) 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 1164079802.

Contact Information

Jimmy K Master, PSYD
100 Nicolls Rd,
Stony Brook, NY 11794-0001
(631) 632-9510
(631) 632-5870



Healthcare Provider's Profile

Full NameJimmy K Master
GenderMale
SpecialityClinical Psychologist
Experience6 Years
Location100 Nicolls Rd, Stony Brook, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jimmy K Master graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1164079802
  • Provider Enumeration Date: 08/19/2019
  • Last Update Date: 08/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3173853272
  • Enrollment ID: I20191002001096

Medical Identifiers

Medical identifiers for Jimmy K Master such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164079802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical P13072 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stony Brook Psychiatric Associates University Faculty Practice Corpor731583673177

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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. Jimmy K Master allows following entities to bill medicare on his behalf.
Entity NameStony Brook Psychiatric Associates University Faculty Practice Corpor
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105905
PECOS PAC ID: 7315836731
Enrollment ID: O20040313000174

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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. Jimmy K Master 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
Jimmy K Master, PSYD
Po Box 1554,
Stony Brook, NY 11790-0988

Ph: (631) 444-2990
Jimmy K Master, PSYD
100 Nicolls Rd,
Stony Brook, NY 11794-0001

Ph: (631) 632-9510

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Dr. Veronique Regina Deutsch-anzalone, PSYD
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