Dr Ronald D Sandoval, PHD in Portland, OR - Medicare Psychologist Provider

Dr Ronald D Sandoval, PHD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. His current practice location is 3550 N Interstate Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 285-9321.

Dr Ronald D Sandoval is licensed to practice in Oregon (license number 1157) 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 1760593065.

Contact Information

	Dr Ronald D Sandoval, PHD
	3550 N Interstate Ave, Portland, OR 97227-1196
	(503) 285-9321
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ronald D Sandoval
Gender	Male
Speciality	Psychologist - Clinical
Location	3550 N Interstate Ave, 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: 1760593065
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1254390453
Enrollment ID: I20041004001139

Medical Identifiers

Medical identifiers for Dr Ronald D Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760593065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1157 (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 Ronald D Sandoval allows following entities to bill medicare on his behalf.

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

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 Ronald D Sandoval 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 Ronald D Sandoval, PHD 14655 Nw Jewell Ln, Portland, OR 97229-9228 Ph: (503) 617-0584	Dr Ronald D Sandoval, PHD 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: (503) 285-9321

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 Ronald D Sandoval, PHD - Medicare Psychologist in Portland, OR