Dr Devin R Petersen, PHD in Corvallis, OR - Medicare Psychologist Provider

Dr Devin R Petersen, PHD is a medicare enrolled "Psychologist - Health" provider in Corvallis, Oregon. His current practice location is 3517 Nw Samaritan Dr Ste 100, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 768-4280.

Dr Devin R Petersen is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306572441.

Contact Information

	Dr Devin R Petersen, PHD
	3517 Nw Samaritan Dr Ste 100, Corvallis, OR 97330-3768
	(541) 768-4280
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Devin R Petersen
Gender	Male
Speciality	Psychologist - Health
Location	3517 Nw Samaritan Dr Ste 100, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306572441
Provider Enumeration Date: 07/30/2022
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2264818749
Enrollment ID: I20221006002225

Medical Identifiers

Medical identifiers for Dr Devin R Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306572441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	(* (Not Available))	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 Devin R Petersen allows following entities to bill medicare on his behalf.

Entity Name	Good Samaritan Hospital Corvallis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

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 Devin R Petersen 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 Devin R Petersen, PHD Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Dr Devin R Petersen, PHD 3517 Nw Samaritan Dr Ste 100, Corvallis, OR 97330-3768 Ph: (541) 768-4280

Reviews and Comments

Psychologist in Corvallis, OR

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Dr Devin R Petersen, PHD - Medicare Psychologist in Corvallis, OR