Dr Ronald Ray Sellers, PHD is a medicare enrolled "Psychologist - Clinical" provider in Charleston, Illinois. His current practice location is
2308 Andover Pl, Charleston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 825-4335.
Dr Ronald Ray Sellers is licensed to practice in Illinois (license number 071-002396) 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 1336606110.
Healthcare Provider's Profile
Full Name | Dr Ronald Ray Sellers |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2308 Andover Pl, Charleston, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336606110
- Provider Enumeration Date: 02/27/2019
- Last Update Date: 02/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 1052654852
- Enrollment ID: I20190520000109
Medical Identifiers
Medical identifiers for Dr Ronald Ray Sellers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336606110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071-002396 (Illinois) | 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 Ronald Ray Sellers allows following entities to bill medicare on his behalf.
Entity Name | Keri Powell Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
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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. Dr Ronald Ray Sellers 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 Ronald Ray Sellers, PHD 2308 Andover Pl, Charleston, IL 61920-3808 Ph: (217) 825-4335 | Dr Ronald Ray Sellers, PHD 2308 Andover Pl, Charleston, IL 61920-3808 Ph: (217) 825-4335 |
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