Dr Rudolph Wietfeldt, PSYD in Oceanside, CA - Medicare Psychologist Provider

Dr Rudolph Wietfeldt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Oceanside, California. His current practice location is 2181 S El Camino Real, Suite 202, Oceanside, California. You can reach out to his office (for appointments etc.) via phone at (760) 929-9010.

Dr Rudolph Wietfeldt is licensed to practice in California (license number PSY33705) 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 1245618032.

Contact Information

	Dr Rudolph Wietfeldt, PSYD
	2181 S El Camino Real, Suite 202, Oceanside, CA 92054-6220
	(760) 929-9010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rudolph Wietfeldt
Gender	Male
Speciality	Psychologist - Clinical
Location	2181 S El Camino Real, Oceanside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245618032
Provider Enumeration Date: 05/12/2015
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 9032587910
Enrollment ID: I20231016000495

Medical Identifiers

Medical identifiers for Dr Rudolph Wietfeldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245618032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY33705 (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. Dr Rudolph Wietfeldt allows following entities to bill medicare on his behalf.

Entity Name	R & L Quest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891475059 PECOS PAC ID: 0143682328 Enrollment ID: O20230821001207

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 Rudolph Wietfeldt 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 Rudolph Wietfeldt, PSYD 2181 S El Camino Real, Suite 202, Oceanside, CA 92054-6220 Ph: (760) 929-9010	Dr Rudolph Wietfeldt, PSYD 2181 S El Camino Real, Suite 202, Oceanside, CA 92054-6220 Ph: (760) 929-9010

Reviews and Comments

Psychologist in Oceanside, CA

Jason Amed Richardson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1738 S Tremont St, Oceanside, CA 92054 Phone: 760-439-2800
Maria J Herrera, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 510-542-0859
Victoria Marie Ralph, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Sportfisher Dr, Oceanside, CA 92054 Phone: 858-376-0230
Skye A Cerda, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1738 S Tremont St, Oceanside, CA 92054 Phone: 760-439-2800
Dr. Dumont Gary Blankenship, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3142 Vista Way, 205, Oceanside, CA 92056 Phone: 760-758-1480 Fax: 760-435-9472
Dr. Libby A Peachey, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 760-725-4357
Dr. Julie Mennen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3355 Mission Ave, Suite 231, Oceanside, CA 92058 Phone: 760-439-1930 Fax: 760-439-3606

Dr Rudolph Wietfeldt, PSYD - Medicare Psychologist in Oceanside, CA