Todd C Eiden, PHD is a medicare enrolled "Psychologist" provider in Two Rivers, Wisconsin. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Phoenix Behavioral Health Services Llc and his current practice location is
3120 Memorial Dr, Two Rivers, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 657-1780.
Todd C Eiden is licensed to practice in * (Not Available) (license number ) 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 1033142518.
Healthcare Provider's Profile
| Full Name | Todd C Eiden |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 26 Years |
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| Location | 3120 Memorial Dr, Two Rivers, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Todd C Eiden graduated from medical school in 1998
NPI Data:
- NPI Number: 1033142518
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 03/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335239037
- Enrollment ID: I20121107000487
Medical Identifiers
Medical identifiers for Todd C Eiden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033142518 | NPI | - | NPPES |
| 39784300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phoenix Behavioral Health Services Llc | 1456441153 | 2 |
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. Todd C Eiden allows following entities to bill medicare on his behalf.
| Entity Name | Phoenix Behavioral Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871514778
PECOS PAC ID: 1456441153
Enrollment ID: O20071219000121 |
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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. Todd C Eiden 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 |
|---|
Todd C Eiden, PHD
3120 Memorial Dr,
Two Rivers, WI 54241-3229
Ph: (920) 657-1780 | Todd C Eiden, PHD
3120 Memorial Dr,
Two Rivers, WI 54241-3229
Ph: (920) 657-1780 |
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