Dr Dominic Richard Prime, PHD in Sherwood, OR - Medicare Psychologist Provider

Dr Dominic Richard Prime, PHD is a medicare enrolled "Psychologist" provider in Sherwood, Oregon. His current practice location is 16770 Sw Edy Rd Ste 102, Sherwood, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-9600.

Dr Dominic Richard Prime is licensed to practice in California (license number 30305) 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 1972027852.

Contact Information

	Dr Dominic Richard Prime, PHD
	16770 Sw Edy Rd Ste 102, Sherwood, OR 97140-9679
	(503) 216-9600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dominic Richard Prime
Gender	Male
Speciality	Psychologist
Location	16770 Sw Edy Rd Ste 102, Sherwood, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972027852
Provider Enumeration Date: 08/01/2017
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 2062751928
Enrollment ID: I20210408002443

Medical Identifiers

Medical identifiers for Dr Dominic Richard Prime such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972027852	NPI	-	NPPES
500758548	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3023 (Oregon)	Secondary
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	30305 (California)	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 Dominic Richard Prime allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Dominic Richard Prime 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 Dominic Richard Prime, PHD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-2856	Dr Dominic Richard Prime, PHD 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140-9679 Ph: (503) 216-9600

Reviews and Comments

Psychologist in Sherwood, OR

Dr. Breanna Barr, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22566 Sw Washington St Ste 201, Sherwood, OR 97140 Phone: 503-496-7470
Joshua A Morris, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600
Bethany Michelle Zander, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22344 Sw Main St, Sherwood, OR 97140 Phone: 219-793-2360 Fax: 503-625-3768
Dr. Sherry Rose Beckmann, PSYCHOLOGIST, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 22831 Sw Forest Creek Dr Ste B, Sherwood, OR 97140 Phone: 503-625-6559 Fax: 541-871-7851
Amy M Schlapper, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22344 Sw Main St, Sherwood, OR 97140 Phone: 503-625-2768
Dr. Dean Ryan Longfellow, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16850 Sw Gleneagle Dr, Suite 16b, Sherwood, OR 97140 Phone: 503-703-1222
Jacqueline J Head, PSY.D. PC Psychologist Medicare: May Accept Medicare Assignments Practice Location: 22344 Sw Main St, Sherwood, OR 97140 Phone: 503-625-2768 Fax: 503-625-3768

Dr Dominic Richard Prime, PHD - Medicare Psychologist in Sherwood, OR