Scott S Porter, PHD is a medicare enrolled "Clinical Neuropsychologist" physician in Tallahassee, Florida. His current practice location is
1614 Mahan Center Blvd Ste 104, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 765-7292.
Scott S Porter is licensed to practice in Florida (license number PY10129) 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 1841218443.
Physician's Profile
| Full Name | Scott S Porter |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1614 Mahan Center Blvd Ste 104, Tallahassee, Florida |
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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: 1841218443
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 01/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769453265
- Enrollment ID: I20210830002043
Medical Identifiers
Medical identifiers for Scott S Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841218443 | NPI | - | NPPES |
| 13124 | Medicaid | ND | |
| 372126400 | Medicaid | MN | |
| JJ944Z | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | PY10129 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY10129 (Florida) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 374 (North Dakota) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY10129 (Florida) | 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. Scott S Porter allows following entities to bill medicare on his behalf.
| Entity Name | Val J Umphress Phd Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003146374
PECOS PAC ID: 8224210133
Enrollment ID: O20110315000171 |
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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. Scott S Porter 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 |
|---|
Scott S Porter, PHD
1614 Mahan Center Blvd Ste 104,
Tallahassee, FL 32308-5475
Ph: (850) 765-7292 | Scott S Porter, PHD
1614 Mahan Center Blvd Ste 104,
Tallahassee, FL 32308-5475
Ph: (850) 765-7292 |
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