J Randolph Burnham, PHD in Westport, CT - Medicare Clinical Psychologist Provider

J Randolph Burnham, PHD is a medicare enrolled "Psychologist - Clinical" provider in Westport, Connecticut. He graduated from medical school in 1971 and has 53 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 18 Kings Hwy S, Westport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 227-7199.

J Randolph Burnham is licensed to practice in Connecticut (license number 464) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417005554.

Contact Information

	J Randolph Burnham, PHD
	18 Kings Hwy S, Westport, CT 06880-4710
	(203) 227-7199
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	J Randolph Burnham
Gender	Male
Speciality	Clinical Psychologist
Experience	53 Years
Location	18 Kings Hwy S, Westport, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

J Randolph Burnham graduated from medical school in 1971

NPI Data:

NPI Number: 1417005554
Provider Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4284822404
Enrollment ID: I20110103000409

Medical Identifiers

Medical identifiers for J Randolph Burnham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417005554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1376 (Michigan)	Primary
103TC0700X	Psychologist - Clinical	464 (Connecticut)	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. J Randolph Burnham allows following entities to bill medicare on his behalf.

Entity Name	J. Randolph Burnham Ph.d.,p.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992854483 PECOS PAC ID: 5597953703 Enrollment ID: O20110103000348

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. J Randolph Burnham 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
J Randolph Burnham, PHD 18 Kings Hwy S, Westport, CT 06880-4710 Ph: (203) 227-7199	J Randolph Burnham, PHD 18 Kings Hwy S, Westport, CT 06880-4710 Ph: (203) 227-7199

Reviews and Comments

Psychologist in Westport, CT

Dr. Cindy R. Scope, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19 Compo Rd S, Westport, CT 06880 Phone: 203-652-7722
Dr. Valeria T Martinez-kaigi, PHD, MS Psychologist Medicare: Accepting Medicare Assignments Practice Location: 300 Post Rd W, Westport, CT 06880 Phone: 203-226-2499
Dr. Annalise Lawler Caron, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1720 Post Rd E Ste 223, Westport, CT 06880 Phone: 203-220-6486 Fax: 203-220-6487
Alison Bellevue, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1720 Post Rd E, Suite 223, Westport, CT 06880 Phone: 203-220-6486
Dr. Stephanie Gail Ehrman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Main St, Westport, CT 06880 Phone: 917-453-1250 Fax: 203-454-2447
Dr. Matthew Love, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Main St, Westport, CT 06880 Phone: 203-293-6081
Dr. Vanessa Camille Weinbach, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Riverfield Dr, Westport, CT 06880 Phone: 203-343-4208 Fax: 203-350-8286

J Randolph Burnham, PHD - Medicare Psychologist in Westport, CT