Greta Caroline Lyders, PHD in Tigard, OR - Medicare Clinical Psychologist Provider

Greta Caroline Lyders, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tigard, Oregon. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 7100 Sw Hampton St Ste 128, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 342-2510.

Greta Caroline Lyders is licensed to practice in Oregon (license number 2122) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629126081.

Contact Information

	Greta Caroline Lyders, PHD
	7100 Sw Hampton St Ste 128, Tigard, OR 97223-8377
	(503) 342-2510
	(503) 406-2637

Map and Direction

Healthcare Provider's Profile

Full Name	Greta Caroline Lyders
Gender	Female
Speciality	Clinical Psychologist
Experience	25 Years
Location	7100 Sw Hampton St Ste 128, Tigard, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Greta Caroline Lyders graduated from medical school in 1999

NPI Data:

NPI Number: 1629126081
Provider Enumeration Date: 01/08/2007
Last Update Date: 04/10/2018

Medicare PECOS Information:

PECOS PAC ID: 1254510274
Enrollment ID: I20110124000580

Medical Identifiers

Medical identifiers for Greta Caroline Lyders such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629126081	NPI	-	NPPES
500626679	Medicaid	OR
6HN3SQ4DL	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY17288 (California)	Secondary
103TC0700X	Psychologist - Clinical	2122 (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. Greta Caroline Lyders allows following entities to bill medicare on her behalf.

Entity Name	Virginia Garcia Memorial Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992

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. Greta Caroline Lyders 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
Greta Caroline Lyders, PHD 7100 Sw Hampton St Ste 128, Tigard, OR 97223-8377 Ph: (503) 342-2510	Greta Caroline Lyders, PHD 7100 Sw Hampton St Ste 128, Tigard, OR 97223-8377 Ph: (503) 342-2510

Reviews and Comments

Psychologist in Tigard, OR

Connie Francis Gibson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3740 Fax: 503-726-3741
Dr. Chyril Walker, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6950 Sw Hampton St, Suite 319, Tigard, OR 97223 Phone: 971-313-2094
Dr. Kris D Teshera, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9600 Sw Oak St, Suite 280, Tigard, OR 97223 Phone: 503-521-1981 Fax: 503-935-5884
Veronica C Johnstone, B.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3698
Dr. David Windstrom, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6950 Sw Hampton St, Ste. 218, Tigard, OR 97223 Phone: 503-972-8957
Lori Queen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd, Suite 204, Tigard, OR 97223 Phone: 503-639-6843
Kristin Mary Do, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7505 Sw Beveland Rd Ste 205, Tigard, OR 97223 Phone: 503-888-4951 Fax: 971-217-9029

Greta Caroline Lyders, PHD - Medicare Psychologist in Tigard, OR