Dr Stephen Pethick, PHD in Eugene, OR - Medicare Psychologist Provider

Dr Stephen Pethick, PHD is a medicare enrolled "Psychologist - Clinical" provider in Eugene, Oregon. His current practice location is 401 E 10th Ave, Suite 530, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 687-7787.

Dr Stephen Pethick is licensed to practice in Oregon (license number 1569) 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 1356404172.

Contact Information

	Dr Stephen Pethick, PHD
	401 E 10th Ave, Suite 530, Eugene, OR 97401-3367
	(541) 687-7787
	(855) 646-7433

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stephen Pethick
Gender	Male
Speciality	Psychologist - Clinical
Location	401 E 10th Ave, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356404172
Provider Enumeration Date: 12/19/2006
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4880678747
Enrollment ID: I20040617000230

Medical Identifiers

Medical identifiers for Dr Stephen Pethick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356404172	NPI	-	NPPES
298598	Other	OR	OMAP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1569 (Oregon)	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 Stephen Pethick allows following entities to bill medicare on his behalf.

Entity Name	Steve Pethick Phd Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013322411 PECOS PAC ID: 5799190815 Enrollment ID: O20210405002200

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 Stephen Pethick 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 Stephen Pethick, PHD Po Box 3163, Eugene, OR 97403-0163 Ph: (541) 687-7787	Dr Stephen Pethick, PHD 401 E 10th Ave, Suite 530, Eugene, OR 97401-3367 Ph: (541) 687-7787

Reviews and Comments

Psychologist in Eugene, OR

Philip Andrew Fisher, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Pearl St, Eugene, OR 97401 Phone: 541-743-4340 Fax: 541-743-4369
Thomas F Keefe, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401 Phone: 541-744-0828 Fax: 541-687-6214
Dr. Kris S Hallenburg, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 66 Club Rd, Ste 120, Eugene, OR 97401 Phone: 541-393-5983 Fax: 541-393-5984
Erik D Sorensen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 511 E 12th Ave, Eugene, OR 97401 Phone: 541-345-8749 Fax: 541-344-7595
Elizabeth Ryann Watson-stites, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 901 East 18th Ave, Eugene, OR 97403 Phone: 541-346-3575
Kelly L Korach, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 N Monroe St, Eugene, OR 97402 Phone: 541-790-7638 Fax: 541-790-7605
Mrs. Jenelle M'lou Braun Stone, MA, MS, MS, PH.D. - Psychologist Medicare: Medicare Enrolled Practice Location: 132 E Broadway, Ste 332, Eugene, OR 97401 Phone: 541-915-1600 Fax: 541-359-4433

Dr Stephen Pethick, PHD - Medicare Psychologist in Eugene, OR