Dr Vincent Bryan River, PHD is a
Psychologist - Clinical Child & Adolescent based in Polson, Montana. Dr Vincent Bryan River is licensed to practice in Montana (license number 328) and his current practice location is
1201 Main St, Suite A, Polson, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 883-8126.
NPI number for Dr Vincent Bryan River is 1497821672 and his current mailing address is 1201 Main St, Suite A, Polson, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497821672.
Healthcare Provider's Profile
| Full Name | Dr Vincent Bryan River |
|---|
| 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497821672
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 10/31/2012
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 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
NOT enrolled with medicare and thus cannot 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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