Whitaker L Myers, PSYD is a medicare enrolled "Psychologist" provider in Portland, Oregon. He graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Legacy Good Samaritan Hospital And Medical Center and his current practice location is
1040 Nw 22nd Ave Ste 520, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 413-7557.
Whitaker L Myers is licensed to practice in Oregon (license number 3288) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346727971.
Healthcare Provider's Profile
| Full Name | Whitaker L Myers |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 1040 Nw 22nd Ave Ste 520, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Whitaker L Myers graduated from medical school in 2019
NPI Data:
- NPI Number: 1346727971
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698162733
- Enrollment ID: I20240913002902
Medical Identifiers
Medical identifiers for Whitaker L Myers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346727971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (Oregon) | Secondary |
| 103T00000X | Psychologist | 22082 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 3288 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 152 |
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. Whitaker L Myers allows following entities to bill medicare on his behalf.
| Entity Name | Legacy Good Samaritan Hospital And Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
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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. Whitaker L Myers 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 |
Whitaker L Myers, PSYD 4714 Rothman Pl, Monona, WI 53716-2008 Ph: () - | Whitaker L Myers, PSYD 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 Ph: (503) 413-7557 |
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