Randolph Allen West, PSY D in Shiprock, NM - Medicare Psychologist Provider

Randolph Allen West, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Shiprock, New Mexico. His current practice location is Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6001.

Randolph Allen West is licensed to practice in California (license number OS5398) 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 1073664512.

Contact Information

	Randolph Allen West, PSY D
	Us Hwy 491 North, Shiprock, NM 87420
	(505) 368-6001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randolph Allen West
Gender	Male
Speciality	Psychologist - Clinical
Location	Us Hwy 491 North, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073664512
Provider Enumeration Date: 01/12/2007
Last Update Date: 12/28/2016

Medicare PECOS Information:

PECOS PAC ID: 7214947688
Enrollment ID: I20060428000579

Medical Identifiers

Medical identifiers for Randolph Allen West such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073664512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	OS5398 (California)	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. Randolph Allen West allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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. Randolph Allen West 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
Randolph Allen West, PSY D Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001	Randolph Allen West, PSY D Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Psychologist in Shiprock, NM

Dr. Ciara Hansen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: Us- 491, Shiprock, NM 87420 Phone: 505-368-6001
Dr. Carolyn Thomas Morris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Yucca Street # 2, Shiprock Treatment Center, Shiprock, NM 87420 Phone: 505-368-1050
Carole Ann Livingston, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Heather Scott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Highway 64, Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163

Randolph Allen West, PSY D - Medicare Psychologist in Shiprock, NM