Randall L Green, PHD CLINICAL PSYCHOL in Salem, OR - Medicare Clinical Psychologist Provider

Randall L Green, PHD CLINICAL PSYCHOL is a medicare enrolled "Psychologist - Clinical" provider in Salem, Oregon. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mid Valley Counseling Center Inc and his current practice location is 2250 D St Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 364-6093.

Randall L Green is licensed to practice in Oregon (license number 585) 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 1154498269.

Contact Information

	Randall L Green, PHD CLINICAL PSYCHOL
	2250 D St Ne, Salem, OR 97301-2768
	(503) 364-6093
	(503) 364-5121

Map and Direction

Healthcare Provider's Profile

Full Name	Randall L Green
Gender	Male
Speciality	Clinical Psychologist
Experience	42 Years
Location	2250 D St Ne, Salem, Oregon
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:

Randall L Green graduated from medical school in 1982

NPI Data:

NPI Number: 1154498269
Provider Enumeration Date: 11/30/2006
Last Update Date: 03/06/2008

Medicare PECOS Information:

PECOS PAC ID: 3173786068
Enrollment ID: I20120511000108

Medical Identifiers

Medical identifiers for Randall L Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154498269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	585 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mid Valley Counseling Center Inc	2769479948	9

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. Randall L Green allows following entities to bill medicare on his behalf.

Entity Name	Mid Valley Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407039308 PECOS PAC ID: 2769479948 Enrollment ID: O20040429000037

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. Randall L Green 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
Randall L Green, PHD CLINICAL PSYCHOL 2250 D St Ne, Salem, OR 97301-2768 Ph: (503) 364-6093	Randall L Green, PHD CLINICAL PSYCHOL 2250 D St Ne, Salem, OR 97301-2768 Ph: (503) 364-6093

Reviews and Comments

Psychologist in Salem, OR

Marcel Flores, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 435 Lancaster Dr Ne, Salem, OR 97301 Phone: 503-585-6388
Dr. Christine Wung, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2485 12th St Se, Wvp Boulder Creek, Salem, OR 97302 Phone: 503-967-1411
Dr. Carlos A Taloyo, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2250 D St Ne, Salem, OR 97301 Phone: 503-364-6093 Fax: 503-364-5121
Dr. Stephanie Van Orden, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800
Carlene Kaliher Shultz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Center St Ne, Oregon State Hospital, Salem, OR 97301 Phone: 503-945-2800
Dr. Sarah Marie Mckay, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-947-0215
Dr. Elizabeth Quackenbush, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2493 State St, Salem, OR 97301 Phone: 503-588-1010 Fax: 503-588-9424

Randall L Green, PHD CLINICAL PSYCHOL - Medicare Psychologist in Salem, OR