Cynthia Song, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. She graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Professional Services and her current practice location is
3303 S Bond Ave Bldg 17th, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(734) 474-4144.
Cynthia Song is licensed to practice in Oregon (license number 3071) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609265115.
Healthcare Provider's Profile
| Full Name | Cynthia Song |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 3303 S Bond Ave Bldg 17th, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Cynthia Song graduated from medical school in 2018
NPI Data:
- NPI Number: 1609265115
- Provider Enumeration Date: 01/21/2015
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284002775
- Enrollment ID: I20221114002528
Medical Identifiers
Medical identifiers for Cynthia Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609265115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3071 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| University Professional Services | 4880760107 | 1609 |
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. Cynthia Song allows following entities to bill medicare on her behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
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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. Cynthia Song 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 |
Cynthia Song, PSYD 3303 S Bond Ave Bldg 17th, Portland, OR 97239-4501 Ph: (734) 474-4144 | Cynthia Song, PSYD 3303 S Bond Ave Bldg 17th, Portland, OR 97239-4501 Ph: (734) 474-4144 |
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