Dr Elisa A Rudd, PSYD in Portland, OR - Medicare Psychologist Provider

Dr Elisa A Rudd, PSYD is a medicare enrolled "Psychologist" provider in Portland, Oregon. Her current practice location is 2400 Sw Vermont St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 853-1196.

Dr Elisa A Rudd is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821413444.

Contact Information

	Dr Elisa A Rudd, PSYD
	2400 Sw Vermont St, Portland, OR 97219-1940
	(503) 853-1196
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elisa A Rudd
Gender	Female
Speciality	Psychologist
Location	2400 Sw Vermont St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821413444
Provider Enumeration Date: 02/19/2014
Last Update Date: 04/05/2016

Medicare PECOS Information:

PECOS PAC ID: 2466753777
Enrollment ID: I20151210000949

Medical Identifiers

Medical identifiers for Dr Elisa A Rudd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821413444	NPI	-	NPPES
R185947	Other	OR	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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 Elisa A Rudd allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

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 Elisa A Rudd 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 Elisa A Rudd, PSYD 255 Nw 116th Ave Apt 402, Portland, OR 97229-6099 Ph: (503) 853-1196	Dr Elisa A Rudd, PSYD 2400 Sw Vermont St, Portland, OR 97219-1940 Ph: (503) 853-1196

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 Elisa A Rudd, PSYD - Medicare Psychologist in Portland, OR