Dr Constance Eldridge Pederson, PHD in Portland, OR - Medicare Clinical Psychologist Provider

Dr Constance Eldridge Pederson, PHD is a medicare enrolled "Psychologist" provider in Portland, Oregon. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Chaise Group Llc and her current practice location is 3939 Ne Hancock St Ste 301, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 287-4426.

Dr Constance Eldridge Pederson is licensed to practice in Oregon (license number 1070) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548460637.

Contact Information

	Dr Constance Eldridge Pederson, PHD
	3939 Ne Hancock St Ste 301, Portland, OR 97212-5321
	(503) 287-4426
	(503) 284-6051

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Constance Eldridge Pederson
Gender	Female
Speciality	Clinical Psychologist
Experience	35 Years
Location	3939 Ne Hancock St Ste 301, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Constance Eldridge Pederson graduated from medical school in 1989

NPI Data:

NPI Number: 1548460637
Provider Enumeration Date: 07/18/2007
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8729247283
Enrollment ID: I20120302000356

Medical Identifiers

Medical identifiers for Dr Constance Eldridge Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548460637	NPI	-	NPPES
12322686	Other	OR	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1070 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chaise Group Llc	7911006929	4

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 Constance Eldridge Pederson allows following entities to bill medicare on her behalf.

Entity Name	Chaise Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073720017 PECOS PAC ID: 7911006929 Enrollment ID: O20070615000208

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 Constance Eldridge Pederson 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 Constance Eldridge Pederson, PHD 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015-7708 Ph: (503) 740-1971	Dr Constance Eldridge Pederson, PHD 3939 Ne Hancock St Ste 301, Portland, OR 97212-5321 Ph: (503) 287-4426

Reviews and Comments

Psychologist in Portland, OR

Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692
Dr. David Hugh Haven, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ne Weidler St Ste 201, Portland, OR 97232 Phone: 503-312-0281
Dr. Susan Orchard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7415 N Oatman Ave, Portland, OR 97217 Phone: 503-358-6479
Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263
Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000
Laura Isabel Miranda Olivera, MA, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219 Phone: 855-295-3276 Fax: 888-588-2752
Dr. Amy W Wagner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, V3-satp, Portland, OR 97239 Phone: 503-220-8262 Fax: 360-737-1419

Dr Constance Eldridge Pederson, PHD - Medicare Psychologist in Portland, OR