Richard Conner, PSYD in Woodbridge, VA - Medicare Psychologist Provider

Richard Conner, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Woodbridge, Virginia. His current practice location is 4320 Prince William Pkwy Ste 109, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 680-4200.

Richard Conner is licensed to practice in Virginia (license number 0810005476) 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 1932651247.

Contact Information

	Richard Conner, PSYD
	4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192
	(703) 680-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Richard Conner
Gender	Male
Speciality	Psychologist - Clinical
Location	4320 Prince William Pkwy Ste 109, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932651247
Provider Enumeration Date: 11/03/2016
Last Update Date: 01/17/2019

Medicare PECOS Information:

PECOS PAC ID: 6204192552
Enrollment ID: I20171102001717

Medical Identifiers

Medical identifiers for Richard Conner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932651247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TP2701X	Psychologist - Group Psychotherapy	0810005476 (Virginia)	Secondary
103TC0700X	Psychologist - Clinical	0810005476 (Virginia)	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	0810005476 (Virginia)	Secondary
103TF0000X	Psychologist - Family	0810005476 (Virginia)	Secondary
103TF0200X	Psychologist - Forensic	0810005476 (Virginia)	Secondary

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. Richard Conner allows following entities to bill medicare on his behalf.

Entity Name	County Of Loudoun Virginia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386753291 PECOS PAC ID: 8426039959 Enrollment ID: O20040528000959

Entity Name	Woodbridge Psychological Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457407009 PECOS PAC ID: 1052689379 Enrollment ID: O20170609001022

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. Richard Conner 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
Richard Conner, PSYD 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192-8100 Ph: () -	Richard Conner, PSYD 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192 Ph: (703) 680-4200

Reviews and Comments

Psychologist in Woodbridge, VA

Dr. Maya M Deskins, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 213, Woodbridge, VA 22192 Phone: 703-679-2539
Dr. Brian Chandler Hand, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12866 Harbor Dr, Woodbridge, VA 22192 Phone: 703-497-0282 Fax: 703-490-4906
Erika Patricia Borrayo, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953
Jennifer Clements, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4301 Stretton Farm Ct, Woodbridge, VA 22192 Phone: 248-704-4751
Sahair Kaboli-monfared, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192 Phone: 703-680-4200
Dr. Mark L Paris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12584 Darby Brook Ct, Woodbridge, VA 22192 Phone: 793-431-3940
Dr. Tracy Palmer, PSYD, MPH Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12884 Harbor Dr Ste A, Woodbridge, VA 22192 Phone: 703-972-5851

Richard Conner, PSYD - Medicare Psychologist in Woodbridge, VA