| Steven C Schoger Psy D Llc | |
|
10 Crater Lake Ave Ste 21 Medford OR 97504-7445 | |
| (541) 500-8655 | |
| (800) 433-1396 |
| Full Name | Steven C Schoger Psy D Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10 Crater Lake Ave Ste 21, Medford, Oregon |
| Authorized Official Name and Position | Kelly Ramirez (BILLING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 5415008655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven C Schoger Psy D Llc Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Steven C Schoger Psy D Llc 10 Crater Lake Ave Ste 21 Medford OR 97504-7445 Ph: (541) 500-8655 |
| NPI Number | 1720639958 |
|---|---|
| Provider Enumeration Date | 09/29/2019 |
| Last Update Date | 11/24/2019 |
| Medicare PECOS PAC ID | 2668804014 |
|---|---|
| Medicare Enrollment ID | O20191122002455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720639958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven C Schoger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598980252 PECOS PAC ID: 3577995927 Enrollment ID: I20200107003433 |
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