Dr Randal Clay Bruce, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Farmington Hills, Michigan. His current practice location is
37000 Grand River Ave Ste 325, Farmington Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 624-8181.
Dr Randal Clay Bruce is licensed to practice in Michigan (license number 6301007332) 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 1306834551.
Healthcare Provider's Profile
| Full Name | Dr Randal Clay Bruce |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 37000 Grand River Ave Ste 325, Farmington Hills, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306834551
- Provider Enumeration Date: 10/12/2005
- Last Update Date: 05/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830150184
- Enrollment ID: I20041020001194
Medical Identifiers
Medical identifiers for Dr Randal Clay Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306834551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TB0200X | Psychologist - Cognitive & Behavioral | 6301007332 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301007332 (Michigan) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301007332 (Michigan) | 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 Randal Clay Bruce allows following entities to bill medicare on his behalf.
| Entity Name | Aspire Therapy Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093190100
PECOS PAC ID: 9335550680
Enrollment ID: O20201118001269 |
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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 Randal Clay Bruce 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 |
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Dr Randal Clay Bruce, PHD
Po Box 3380,
Farmington Hills, MI 48333-3380
Ph: (248) 624-8181 | Dr Randal Clay Bruce, PHD
37000 Grand River Ave Ste 325,
Farmington Hills, MI 48335-2868
Ph: (248) 624-8181 |
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