Ezekiel N Sanders, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Prineville, Oregon. His current practice location is
384 Se Combs Flat Rd Ste 1200, Prineville, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 447-6263.
Ezekiel N Sanders is licensed to practice in Oregon (license number 3132) 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 1831433812.
Healthcare Provider's Profile
| Full Name | Ezekiel N Sanders |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 384 Se Combs Flat Rd Ste 1200, Prineville, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831433812
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 02/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577995596
- Enrollment ID: I20191113001732
Medical Identifiers
Medical identifiers for Ezekiel N Sanders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831433812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (Oregon) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3132 (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. Ezekiel N Sanders allows following entities to bill medicare on his behalf.
| Entity Name | St Charles Health System Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
|---|
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. Ezekiel N Sanders 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 |
Ezekiel N Sanders, PSYD 384 Se Combs Flat Rd, Prineville, OR 97754-2562 Ph: (541) 447-6263 | Ezekiel N Sanders, PSYD 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754-2562 Ph: (541) 447-6263 |
Reviews and Comments