Dr Trevor Allen Hall, PSYD, ABPDN in Portland, OR - Medicare Psychologist Provider

Dr Trevor Allen Hall, PSYD, ABPDN is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. His current practice location is 707 Sw Gaines St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 418-2134.

Dr Trevor Allen Hall is licensed to practice in Oregon (license number 2540) 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 1306914643.

Contact Information

	Dr Trevor Allen Hall, PSYD, ABPDN
	707 Sw Gaines St, Portland, OR 97239-2901
	(503) 418-2134
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Trevor Allen Hall
Gender	Male
Speciality	Psychologist - Clinical
Location	707 Sw Gaines St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306914643
Provider Enumeration Date: 12/04/2006
Last Update Date: 12/18/2014

Medicare PECOS Information:

PECOS PAC ID: 5597766634
Enrollment ID: I20070116000567

Medical Identifiers

Medical identifiers for Dr Trevor Allen Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306914643	NPI	-	NPPES
1518102797	Other	ID	GROUP NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1804 (Oregon)	Secondary
103TC0700X	Psychologist - Clinical	PSY202444 (Idaho)	Secondary
103TC0700X	Psychologist - Clinical	2540 (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 Trevor Allen Hall allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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 Trevor Allen Hall 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 Trevor Allen Hall, PSYD, ABPDN 707 Sw Gaines St, Portland, OR 97239-2901 Ph: (503) 418-2134	Dr Trevor Allen Hall, PSYD, ABPDN 707 Sw Gaines St, Portland, OR 97239-2901 Ph: (503) 418-2134

Reviews and Comments

Psychologist in Portland, OR

Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692
Rachel Kvamme, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn-88, Portland, OR 97239 Phone: 503-418-0169
Dr. David Hugh Haven, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ne Weidler St Ste 201, Portland, OR 97232 Phone: 503-312-0281
Dr. Susan Orchard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7415 N Oatman Ave, Portland, OR 97217 Phone: 503-358-6479
Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263
Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000
Dr. Amy W Wagner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, V3-satp, Portland, OR 97239 Phone: 503-220-8262 Fax: 360-737-1419

Dr Trevor Allen Hall, PSYD, ABPDN - Medicare Psychologist in Portland, OR