| Dr Sean Dodge, PSYD | |
|
211 Nw Larch Ave, Redmond, OR 97756-1357 | |
| (541) 548-2164 | |
| (541) 548-0534 |
| Full Name | Dr Sean Dodge |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 17 Years |
| Location | 211 Nw Larch Ave, Redmond, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922256809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0624 (Nevada) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2871 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Health System Inc | 3870402852 | 164 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sean Dodge, PSYD 1900 Ne 3rd St Ste 1061019, Bend, OR 97701-3894 Ph: (775) 297-8855 | Dr Sean Dodge, PSYD 211 Nw Larch Ave, Redmond, OR 97756-1357 Ph: (541) 548-2164 |
Joel D Moore, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1314 Sw Kalama Ave Bldg B, Redmond, OR 97756 Phone: 541-325-2410 | |
Mrs. Tracy Brenda Bayne, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2790 Sw Wickiup Ave, Redmond, OR 97756 Phone: 541-316-2830 | |
Lori Funk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1220 Nw Upas Ave, Redmond, OR 97756 Phone: 541-390-5964 | |
Debra Johnson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4257 Sw 42nd St, Redmond, OR 97756 Phone: 541-224-8837 | |
Dr. Wendy A. Hatcher, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 |