Dr Clinton Edward Quisenberry, PHD in Tigard, OR - Medicare Clinical Psychologist Provider

Dr Clinton Edward Quisenberry, PHD is a medicare enrolled "Psychologist" provider in Tigard, Oregon. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 7505 Sw Beveland Rd, Ste 102, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 747-4646.

Dr Clinton Edward Quisenberry is licensed to practice in Oregon (license number 2721) 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 1710205232.

Contact Information

	Dr Clinton Edward Quisenberry, PHD
	7505 Sw Beveland Rd, Ste 102, Tigard, OR 97223-8682
	(503) 747-4646
	(503) 214-8668

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Clinton Edward Quisenberry
Gender	Male
Speciality	Clinical Psychologist
Experience	16 Years
Location	7505 Sw Beveland Rd, Tigard, 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 Clinton Edward Quisenberry graduated from medical school in 2009

NPI Data:

NPI Number: 1710205232
Provider Enumeration Date: 05/07/2010
Last Update Date: 06/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7810182003
Enrollment ID: I20101112001284

Medical Identifiers

Medical identifiers for Dr Clinton Edward Quisenberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710205232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY60132400 (Washington)	Secondary
103T00000X	Psychologist	2721 (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. Dr Clinton Edward Quisenberry allows following entities to bill medicare on his behalf.

Entity Name	C Q Psychological Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619500477 PECOS PAC ID: 7416384805 Enrollment ID: O20200225000608

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 Clinton Edward Quisenberry 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 Clinton Edward Quisenberry, PHD 7505 Sw Beveland Rd, Ste 102, Tigard, OR 97223-8682 Ph: (503) 747-4646	Dr Clinton Edward Quisenberry, PHD 7505 Sw Beveland Rd, Ste 102, Tigard, OR 97223-8682 Ph: (503) 747-4646

Reviews and Comments

Psychologist in Tigard, OR

Connie Francis Gibson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3740 Fax: 503-726-3741
Dr. Chyril Walker, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6950 Sw Hampton St, Suite 319, Tigard, OR 97223 Phone: 971-313-2094
Dr. Kris D Teshera, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9600 Sw Oak St, Suite 280, Tigard, OR 97223 Phone: 503-521-1981 Fax: 503-935-5884
Veronica C Johnstone, B.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3698
Dr. David Windstrom, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6950 Sw Hampton St, Ste. 218, Tigard, OR 97223 Phone: 503-972-8957
Lori Queen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd, Suite 204, Tigard, OR 97223 Phone: 503-639-6843
Kristin Mary Do, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd Ste 205, Tigard, OR 97223 Phone: 503-888-4951 Fax: 971-217-9029

Dr Clinton Edward Quisenberry, PHD - Medicare Psychologist in Tigard, OR