Dr Vincent Bryan River, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Polson, Montana. His current practice location is
1201 Main St, Suite A, Polson, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 883-8126.
Dr Vincent Bryan River is licensed to practice in Montana (license number 328) 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 1497821672.
Healthcare Provider's Profile
| Full Name | Dr Vincent Bryan River |
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| Gender | Male |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 1201 Main St, Polson, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497821672
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 10/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 7012949068
- Enrollment ID: I20050909000922
Medical Identifiers
Medical identifiers for Dr Vincent Bryan River such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497821672 | NPI | - | NPPES |
| 490739 | Medicaid | MT | |
| 51871 | Other | MT | BLUE CROSS BLUE SHIELD |
| 7718 59860 0000 | Other | MT | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 328 (Montana) | Primary |
| 103TF0200X | Psychologist - Forensic | 328 (Montana) | Secondary |
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 Vincent Bryan River allows following entities to bill medicare on his behalf.
| Entity Name | Dr. Vincent River, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699965913
PECOS PAC ID: 3072538107
Enrollment ID: O20051007000727 |
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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 Vincent Bryan River 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 Vincent Bryan River, PHD
1201 Main St, Suite A,
Polson, MT 59860-5333
Ph: (406) 883-8126 | Dr Vincent Bryan River, PHD
1201 Main St, Suite A,
Polson, MT 59860-5333
Ph: (406) 883-8126 |
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