Dr Rory Fleming Richardson, PHD, FICPPM is a
Psychologist based in Lincoln City, Oregon. Dr Rory Fleming Richardson is licensed to practice in Oregon (license number 1249) and his current practice location is
4466 Ne Devils Lake Blvd, Suite A, Lincoln City, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 994-4462.
NPI number for Dr Rory Fleming Richardson is 1629051776 and his current mailing address is P.o. Box 109, Lincoln City, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629051776.
Healthcare Provider's Profile
| Full Name | Dr Rory Fleming Richardson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 4466 Ne Devils Lake Blvd, Lincoln City, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629051776
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 03/02/2009
Medical Identifiers
Medical identifiers for Dr Rory Fleming Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629051776 | NPI | - | NPPES |
| 092951 | Medicaid | OR | |
| R 7WBQ0 | Other | OR | PACC HMO |
| OR00543 | Other | | MEDICARE NORIDIAN EDI |
| 069078000 | Other | OR | REGENCE BLUE CROSS BLUE S |
| 171641 | Other | OR | MENTAL HEALTH NETWORK |
| 150576 | Medicaid | OR | |
| 090021822 | Other | OR | STATE OF OREGON DDS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | C0068 (Oregon) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1249 (Oregon) | Secondary |
| 103T00000X | Psychologist | 1249 (Oregon) | Primary |
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 Rory Fleming Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rory Fleming Richardson, PHD, FICPPM
P.o. Box 109,
Lincoln City, OR 97367-0109
Ph: (541) 994-4462 | Dr Rory Fleming Richardson, PHD, FICPPM
4466 Ne Devils Lake Blvd, Suite A,
Lincoln City, OR 97367-5197
Ph: (541) 994-4462 |
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