Dr Raphael Romero, PSYD, in Charleston, SC - Medicare Psychologist Provider

Dr Raphael Romero, PSYD, is a medicare enrolled "Psychologist - Clinical" provider in Charleston, South Carolina. His current practice location is 204 W Hill Blvd, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 963-6539.

Dr Raphael Romero is licensed to practice in California (license number PSY24863) 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 1780709436.

Contact Information

	Dr Raphael Romero, PSYD,
	204 W Hill Blvd, Charleston, SC 29404-4704
	(843) 963-6539
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Raphael Romero
Gender	Male
Speciality	Psychologist - Clinical
Location	204 W Hill Blvd, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780709436
Provider Enumeration Date: 03/20/2007
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7012317530
Enrollment ID: I20210621000965

Medical Identifiers

Medical identifiers for Dr Raphael Romero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780709436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary
103TF0200X	Psychologist - Forensic	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	PSY24863 (California)	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 Raphael Romero allows following entities to bill medicare on his behalf.

Entity Name	Integrative Therapy, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639868524 PECOS PAC ID: 0648638049 Enrollment ID: O20230616000438

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 Raphael Romero 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 Raphael Romero, PSYD, 204 W Hill Blvd, Charleston, SC 29404-4704 Ph: (843) 963-6539	Dr Raphael Romero, PSYD, 204 W Hill Blvd, Charleston, SC 29404-4704 Ph: (843) 963-6539

Reviews and Comments

Psychologist in Charleston, SC

Dr. Anna Birks, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 109 Bee Street, Charleston, SC 29401 Phone: 843-789-7316
Dr. Ana Diaz-lepage, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-876-0444
Christine Reineke Bachmann, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Poston Rd, Suite 145, Charleston, SC 29407 Phone: 843-556-4157 Fax: 843-763-8747
Dr. Janet Rose, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 E Bay St, Suite 501, Charleston, SC 29401 Phone: 843-708-4308 Fax: 843-723-8324
Dr. Kathryn Reid, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1016 Telfair Way, Charleston, SC 29412 Phone: 804-338-1820
Mrs. Angela Geddes, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 Arlington Dr, Charleston, SC 29414 Phone: 843-606-0136
Dr. Ashley Marie Fowler, PSYD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Sam Rittenberg Blvd Ste 103, Charleston, SC 29407 Phone: 509-680-0093

Dr Raphael Romero, PSYD, - Medicare Psychologist in Charleston, SC