Richelle Lee Clifton, PHD is a medicare enrolled "Psychologist" provider in Seattle, Washington. Her current practice location is
3939 S Othello St Ste 101, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 987-2000.
Richelle Lee Clifton is licensed to practice in Washington (license number PY61530764) 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 1245086529.
Healthcare Provider's Profile
| Full Name | Richelle Lee Clifton |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 3939 S Othello St Ste 101, Seattle, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245086529
- Provider Enumeration Date: 04/26/2024
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577099456
- Enrollment ID: I20241216002990
Medical Identifiers
Medical identifiers for Richelle Lee Clifton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245086529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | CG61504311 (Washington) | Secondary |
| 103T00000X | Psychologist | PY61530764 (Washington) | 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. Richelle Lee Clifton allows following entities to bill medicare on her behalf.
| Entity Name | The Association of Chrmc and University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
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| Entity Name | Seattle Childrens Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
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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. Richelle Lee Clifton 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 |
Richelle Lee Clifton, PHD 4800 Sand Point Way Ne, Seattle, WA 98105-3901 Ph: (206) 987-2000 | Richelle Lee Clifton, PHD 3939 S Othello St Ste 101, Seattle, WA 98118-3505 Ph: (206) 987-2000 |
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