Dr Clinton Edward Quisenberry, PHD in Longview, WA - Medicare Clinical Psychologist Provider

Dr Clinton Edward Quisenberry, PHD is a medicare enrolled "Psychologist" provider in Longview, Washington. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1516 Hudson St Ste 204, Longview, Washington. 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 Washington (license number PY60132400) 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
	1516 Hudson St Ste 204, Longview, WA 98632-3046
	(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	15 Years
Location	1516 Hudson St Ste 204, Longview, Washington
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: 01/23/2020

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	2721 (Oregon)	Secondary
103T00000X	Psychologist	PY60132400 (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. 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 1516 Hudson St Ste 204, Longview, WA 98632-3046 Ph: (503) 747-4646	Dr Clinton Edward Quisenberry, PHD 1516 Hudson St Ste 204, Longview, WA 98632-3046 Ph: (503) 747-4646

Reviews and Comments

Psychologist in Longview, WA

Dr. David F Devidal, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 945 11th St, Ste B, Longview, WA 98632 Phone: 360-414-8600 Fax: 360-636-7372
Dr. Carol Ann Pahlke, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 945 11th Ave, #b, Longview, WA 98632 Phone: 360-414-8600 Fax: 360-636-7372
Dr. Ibrahim Kurdieh, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 945 11th Ave, Suite B, Longview, WA 98632 Phone: 360-414-8600 Fax: 360-636-7372
Barry Lewis Jacobson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Stephen Scott Meharg, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 945 11th Ave, Suite B, Longview, WA 98632 Phone: 360-414-8600 Fax: 360-636-7372
Dr. Gary Michael Sampson, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 945 11th Avenue, Longview, WA 98632 Phone: 888-313-8600 Fax: 360-636-7372
Pamela Elin Kurthy, LICSW ACSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1339 Commerce Ave, Ste 310d, Longview, WA 98632 Phone: 360-577-6559 Fax: 360-425-1940

Dr Clinton Edward Quisenberry, PHD - Medicare Psychologist in Longview, WA