Dr Deric V Ravsten, DO in Roseburg, OR

Dr Deric V Ravsten, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Roseburg, Oregon. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1995 and has 29 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Life Change Associates Pc and his current practice location is 621 W Madrone St Ste 330, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 672-2691.

Dr Deric V Ravsten is licensed to practice in Idaho (license number O-290) 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 1154431542.

Contact Information

	Dr Deric V Ravsten, DO
	621 W Madrone St Ste 330, Roseburg, OR 97470-3090
	(541) 672-2691
	(877) 284-2783

Map and Direction

Physician's Profile

Full Name	Dr Deric V Ravsten
Gender	Male
Speciality	Psychiatry
Experience	29 Years
Location	621 W Madrone St Ste 330, Roseburg, Oregon
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:

Dr Deric V Ravsten attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1995

NPI Data:

NPI Number: 1154431542
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 4688636129
Enrollment ID: I20041027001257

Medical Identifiers

Medical identifiers for Dr Deric V Ravsten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154431542	NPI	-	NPPES
S6444	Other	ID	BLUE CROSS OF IDAHO
806453300	Medicaid	ID
000010154744	Other	ID	REGENCE BLUE SHIELD OF ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	O-290 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Life Change Associates Pc	8224265574	6

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. Dr Deric V Ravsten allows following entities to bill medicare on his behalf.

Entity Name	Shoshone Bannock Tribes Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801949763 PECOS PAC ID: 5496804429 Enrollment ID: O20100330001318

Entity Name	Life Change Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598077562 PECOS PAC ID: 8224265574 Enrollment ID: O20131212001598

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 Deric V Ravsten 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
Dr Deric V Ravsten, DO Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 672-2691	Dr Deric V Ravsten, DO 621 W Madrone St Ste 330, Roseburg, OR 97470-3090 Ph: (541) 672-2691

Reviews and Comments

Psychiatry & Neurology Doctors in Roseburg, OR

Jerry D. Boggs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1741 West Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322
Scott Douglas Mendelson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471 Phone: 541-440-6390 Fax: 541-440-6392
Dr. Mark Allan Ramirez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1741 W. Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322
Mia S Schreiner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1741 W. Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322
Peter James Davidson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 Phone: 541-440-3532 Fax: 541-440-3554
Dr. James R Young, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Medical Loop, Suite 180, Roseburg, OR 97471 Phone: 541-440-3532 Fax: 541-440-3554

Dr Deric V Ravsten, DO - Medicare Psychiatry in Roseburg, OR