Dr Philip Louis Rambo, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Wichita, Kansas. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
801 E Douglas Ave Ste 200, Wichita, Kansas. You can reach out to his office (for appointments etc.) via phone at
(316) 361-6885.
Dr Philip Louis Rambo is licensed to practice in West Virginia (license number 1062) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407290497.
Healthcare Provider's Profile
| Full Name | Dr Philip Louis Rambo |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 801 E Douglas Ave Ste 200, Wichita, Kansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Philip Louis Rambo graduated from medical school in 2011
NPI Data:
- NPI Number: 1407290497
- Provider Enumeration Date: 04/22/2013
- Last Update Date: 04/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557661568
- Enrollment ID: I20230412000677
Medical Identifiers
Medical identifiers for Dr Philip Louis Rambo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407290497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 1062 (West Virginia) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1062 (West Virginia) | 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 Philip Louis Rambo allows following entities to bill medicare on his behalf.
| Entity Name | Neurocognitive Specialty Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346700275
PECOS PAC ID: 9133451297
Enrollment ID: O20230227000282 |
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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. Dr Philip Louis Rambo 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 |
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Dr Philip Louis Rambo, PHD
801 E Douglas Ave Ste 200,
Wichita, KS 67202-3548
Ph: (918) 289-8186 | Dr Philip Louis Rambo, PHD
801 E Douglas Ave Ste 200,
Wichita, KS 67202-3548
Ph: (316) 361-6885 |
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