Dr Lily A Iteld, PHD in Portland, OR - Medicare Psychologist Provider

Dr Lily A Iteld, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Portland, Oregon. Her current practice location is 1509 Sw Sunset Blvd Ste 1d, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 446-3435.

Dr Lily A Iteld is licensed to practice in Oregon (license number 3431) 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 1487936753.

Contact Information

	Dr Lily A Iteld, PHD
	1509 Sw Sunset Blvd Ste 1d, Portland, OR 97239-2676
	(503) 446-3435
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lily A Iteld
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	1509 Sw Sunset Blvd Ste 1d, 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: 1487936753
Provider Enumeration Date: 09/13/2011
Last Update Date: 05/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1850782590
Enrollment ID: I20220106002129

Medical Identifiers

Medical identifiers for Dr Lily A Iteld such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487936753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	35143 (Texas)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	3431 (Oregon)	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 Lily A Iteld 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 Lily A Iteld 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 Lily A Iteld, PHD 1509 Sw Sunset Blvd Ste 1d, Portland, OR 97239-2676 Ph: (503) 446-3435	Dr Lily A Iteld, PHD 1509 Sw Sunset Blvd Ste 1d, Portland, OR 97239-2676 Ph: (503) 446-3435

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 Lily A Iteld, PHD - Medicare Psychologist in Portland, OR