Dr Chandra L Perez, PSYD is a medicare enrolled "Psychologist" provider in Eugene, Oregon. Her current practice location is
101 E Broadway Ste 400, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 357-9764.
Dr Chandra L Perez is licensed to practice in Oregon (license number 3722) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326372681.
Healthcare Provider's Profile
| Full Name | Dr Chandra L Perez |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 101 E Broadway Ste 400, Eugene, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326372681
- Provider Enumeration Date: 09/18/2009
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648682211
- Enrollment ID: I20201224000365
Medical Identifiers
Medical identifiers for Dr Chandra L Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326372681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 2180 (Montana) | Secondary |
| 103T00000X | Psychologist | 1047 (Montana) | Secondary |
| 103T00000X | Psychologist | 3722 (Oregon) | 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 Chandra L Perez allows following entities to bill medicare on her behalf.
| Entity Name | Elysian Mental Health Foundaion |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023621836
PECOS PAC ID: 4082024278
Enrollment ID: O20201028002690 |
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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 Chandra L Perez 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 Chandra L Perez, PSYD
2110 Overland Ave, Ste 108,
Billings, MT 59102-6440
Ph: (406) 655-2136 | Dr Chandra L Perez, PSYD
101 E Broadway Ste 400,
Eugene, OR 97401-3104
Ph: (541) 357-9764 |
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