Brian Douglas Augustyn, is a medicare enrolled "Psychologist - Clinical" provider in Prineville, Oregon. His current practice location is
384 Se Combs Flat Rd Ste 1200, Prineville, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 447-6263.
Brian Douglas Augustyn is licensed to practice in Utah (license number 8883397-2501) 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 1306095633.
Healthcare Provider's Profile
Full Name | Brian Douglas Augustyn |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 384 Se Combs Flat Rd Ste 1200, Prineville, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306095633
- Provider Enumeration Date: 09/10/2008
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264718535
- Enrollment ID: I20170421000869
Medical Identifiers
Medical identifiers for Brian Douglas Augustyn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306095633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 8883397-2501 (Utah) | Secondary |
103TC0700X | Psychologist - Clinical | 8883397-2501 (Utah) | 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. Brian Douglas Augustyn allows following entities to bill medicare on his behalf.
Entity Name | University Of Utah |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
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Entity Name | University Of Utah Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
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Entity Name | University Of Utah Pediatric Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
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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. Brian Douglas Augustyn 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 |
Brian Douglas Augustyn, Po Box 413076, Salt Lake City, UT 84141-3076 Ph: (801) 213-3900 | Brian Douglas Augustyn, 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754-2562 Ph: (541) 447-6263 |
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