Dr John Randall Brandt, PHD in Springfield, MO - Medicare Psychologist Provider

Dr John Randall Brandt, PHD is a medicare enrolled "Psychologist - Clinical" provider in Springfield, Missouri. His current practice location is 3800 S National Ave Ste 770, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 269-6891.

Dr John Randall Brandt is licensed to practice in Missouri (license number 2016032320) 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 1033669080.

Contact Information

	Dr John Randall Brandt, PHD
	3800 S National Ave Ste 770, Springfield, MO 65807-5283
	(417) 269-6891
	(417) 269-5595

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Randall Brandt
Gender	Male
Speciality	Psychologist - Clinical
Location	3800 S National Ave Ste 770, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033669080
Provider Enumeration Date: 10/13/2016
Last Update Date: 09/27/2019

Medicare PECOS Information:

PECOS PAC ID: 1254691819
Enrollment ID: I20180131000987

Medical Identifiers

Medical identifiers for Dr John Randall Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033669080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY5269 (Florida)	Secondary
103TC0700X	Psychologist - Clinical	2016032320 (Missouri)	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 John Randall Brandt allows following entities to bill medicare on his behalf.

Entity Name	Missouri Behavioral Health Counseling Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245774348 PECOS PAC ID: 4082998125 Enrollment ID: O20170308002595

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 John Randall Brandt 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 John Randall Brandt, PHD Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712	Dr John Randall Brandt, PHD 3800 S National Ave Ste 770, Springfield, MO 65807-5283 Ph: (417) 269-6891

Reviews and Comments

Psychologist in Springfield, MO

Suzanne Pamela Demier, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6891 Fax: 417-269-5595
Jason R Glass, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1312 E Lark St, Springfield, MO 65804 Phone: 417-820-7954
Roberta D Celaya, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000
Dr. Robert Duane Forsyth, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4375 E Kingsbury St, Springfield, MO 65809 Phone: 417-882-8393 Fax: 417-886-6778
Ryan Grant Jones, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1864 S Kentwood Ave, Springfield, MO 65804 Phone: 417-880-6838 Fax: 417-374-0074
Robert Christian Doneski, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1505 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-322-6622 Fax: 417-350-1935
Dr. Crystal M Beckham, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5065

Dr John Randall Brandt, PHD - Medicare Psychologist in Springfield, MO