Mr Robert C Skidmore, PHD, MDIV, MA, LPC in Medford, OR

Mr Robert C Skidmore, PHD, MDIV, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Medford, Oregon. His current practice location is 18 Portland Ave, Medford, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 857-0873.

Mr Robert C Skidmore is licensed to practice in Oregon (license number C3047) 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 1942547906.

Contact Information

	Mr Robert C Skidmore, PHD, MDIV, MA, LPC
	18 Portland Ave, Medford, OR 97504-7309
	(541) 857-0873
	(541) 245-1530

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert C Skidmore
Gender	Male
Speciality	Counselor - Professional
Location	18 Portland Ave, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942547906
Provider Enumeration Date: 01/11/2013
Last Update Date: 08/16/2025

Medicare PECOS Information:

PECOS PAC ID: 0547793788
Enrollment ID: I20241028001099

Medical Identifiers

Medical identifiers for Mr Robert C Skidmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942547906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C3047 (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. Mr Robert C Skidmore allows following entities to bill medicare on his behalf.

Entity Name	Robert Skidmore Phd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720558604 PECOS PAC ID: 8729511969 Enrollment ID: O20241028000997

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. Mr Robert C Skidmore 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
Mr Robert C Skidmore, PHD, MDIV, MA, LPC 18 Portland Ave, Medford, OR 97504-7309 Ph: (541) 857-0873	Mr Robert C Skidmore, PHD, MDIV, MA, LPC 18 Portland Ave, Medford, OR 97504-7309 Ph: (541) 857-0873

Reviews and Comments

Counselor in Medford, OR

Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948
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Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948
Noah Drake, LPC Counselor Medicare: Medicare Enrolled Practice Location: 730 Biddle Rd, Medford, OR 97504 Phone: 541-494-3800

Mr Robert C Skidmore, PHD, MDIV, MA, LPC - Medicare Counselor in Medford, OR