Dr Rory Fleming Richardson, PHD, FICPPM is a medicare enrolled "Psychologist" provider in Lincoln City, Oregon. His current practice location is
4466 Ne Devils Lake Blvd, Suite A, Lincoln City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 994-4462.
Dr Rory Fleming Richardson is licensed to practice in Oregon (license number 1249) 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 1629051776.
Healthcare Provider's Profile
| Full Name | Dr Rory Fleming Richardson |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 4466 Ne Devils Lake Blvd, Lincoln City, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629051776
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 03/02/2009
Medicare PECOS Information:
- PECOS PAC ID: 6901091263
- Enrollment ID: I20180521000586
Medical Identifiers
Medical identifiers for Dr Rory Fleming Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629051776 | NPI | - | NPPES |
| 092951 | Medicaid | OR | |
| R 7WBQ0 | Other | OR | PACC HMO |
| OR00543 | Other | | MEDICARE NORIDIAN EDI |
| 069078000 | Other | OR | REGENCE BLUE CROSS BLUE S |
| 171641 | Other | OR | MENTAL HEALTH NETWORK |
| 150576 | Medicaid | OR | |
| 090021822 | Other | OR | STATE OF OREGON DDS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | C0068 (Oregon) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1249 (Oregon) | Secondary |
| 103T00000X | Psychologist | 1249 (Oregon) | 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 Rory Fleming Richardson allows following entities to bill medicare on his behalf.
| Entity Name | Greater Ozarks Rural Psychologists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366779100
PECOS PAC ID: 1759424997
Enrollment ID: O20100210000240 |
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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 Rory Fleming Richardson 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 |
|---|
Dr Rory Fleming Richardson, PHD, FICPPM
P.o. Box 109,
Lincoln City, OR 97367-0109
Ph: (541) 994-4462 | Dr Rory Fleming Richardson, PHD, FICPPM
4466 Ne Devils Lake Blvd, Suite A,
Lincoln City, OR 97367-5197
Ph: (541) 994-4462 |
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