Elise Noel Bascom, PHD in Eugene, OR - Medicare Psychologist Provider

Elise Noel Bascom, PHD is a medicare enrolled "Psychologist" provider in Eugene, Oregon. Her current practice location is 1551 Pearl St, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 517-9733.

Elise Noel Bascom is licensed to practice in Oregon (license number 3154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043853948.

Contact Information

	Elise Noel Bascom, PHD
	1551 Pearl St, Eugene, OR 97401-4010
	(541) 517-9733
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elise Noel Bascom
Gender	Female
Speciality	Psychologist
Location	1551 Pearl St, 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: 1043853948
Provider Enumeration Date: 10/23/2019
Last Update Date: 02/15/2023

Medicare PECOS Information:

PECOS PAC ID: 5799118352
Enrollment ID: I20191212001197

Medical Identifiers

Medical identifiers for Elise Noel Bascom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043853948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3154 (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. Elise Noel Bascom allows following entities to bill medicare on her behalf.

Entity Name	Vista Counseling & Consultation Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275864985 PECOS PAC ID: 1153748363 Enrollment ID: O20200902002946

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. Elise Noel Bascom 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
Elise Noel Bascom, PHD 1551 Pearl St, Eugene, OR 97401-4010 Ph: (541) 517-9733	Elise Noel Bascom, PHD 1551 Pearl St, Eugene, OR 97401-4010 Ph: (541) 517-9733

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
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
Mr. Jack Blanton Wills, M.S., P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1414 Kincaid St, Eugene, OR 97401 Phone: 541-505-2080

Elise Noel Bascom, PHD - Medicare Psychologist in Eugene, OR