Samuel B Rennebohm, PHD in Seattle, WA - Medicare Clinical Psychologist Provider

Samuel B Rennebohm, PHD is a medicare enrolled "Psychologist - Clinical" provider in Seattle, Washington. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Swedish Health Services and his current practice location is 1401 Madison St Ste 100, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 386-6111.

Samuel B Rennebohm is licensed to practice in Washington (license number PY61016748) 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 1790238814.

Contact Information

	Samuel B Rennebohm, PHD
	1401 Madison St Ste 100, Seattle, WA 98104-1316
	(206) 386-6111
	(206) 386-6111

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel B Rennebohm
Gender	Male
Speciality	Clinical Psychologist
Experience	5 Years
Location	1401 Madison St Ste 100, Seattle, Washington
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:

Samuel B Rennebohm graduated from medical school in 2019

NPI Data:

NPI Number: 1790238814
Provider Enumeration Date: 07/25/2016
Last Update Date: 09/30/2020

Medicare PECOS Information:

PECOS PAC ID: 6608293345
Enrollment ID: I20200826003711

Medical Identifiers

Medical identifiers for Samuel B Rennebohm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790238814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY61016748 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Swedish Health Services	0244138196	834

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. Samuel B Rennebohm allows following entities to bill medicare on his behalf.

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187

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. Samuel B Rennebohm 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
Samuel B Rennebohm, PHD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476	Samuel B Rennebohm, PHD 1401 Madison St Ste 100, Seattle, WA 98104-1316 Ph: (206) 386-6111

Reviews and Comments

Psychologist in Seattle, WA

Dr. Justin Benjamin Miller, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Katherine Evans Stanfill, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Westlake Ave N Ste 416, Seattle, WA 98109 Phone: 206-973-7262
Alice Verstaen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 S Columbian Way, Seattle, WA 98108 Phone: 206-277-3776
Dr. Gregory Eugene Moy, PHD, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3730 Renton Ave S, Seattle, WA 98144 Phone: 206-580-3723
Dr. Elizabeth Tam Dexter-mazza, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5122 25th Ave Ne, Seattle, WA 98105 Phone: 206-779-1265
Dr. Jane Kate Harmon Jacobs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5410 California Ave Sw, Suite 201, Seattle, WA 98136 Phone: 206-683-6512
Karen Hope Weisbard Appel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5122 25th Ave Ne, Seattle, WA 98105 Phone: 206-525-6783

Samuel B Rennebohm, PHD - Medicare Psychologist in Seattle, WA