Mr Russell W Dern, PHD in Lebanon, OH - Medicare Clinical Psychologist Provider

Mr Russell W Dern, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lebanon, Ohio. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Community Mental Health Centers Of Warren County, Inc and his current practice location is 975 Kingsivew Drive, Bldg A, Lebanon, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 228-7800.

Mr Russell W Dern is licensed to practice in Ohio (license number 3444) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568438497.

Contact Information

	Mr Russell W Dern, PHD
	975 Kingsivew Drive, Bldg A, Lebanon, OH 45036-9562
	(513) 228-7800
	(513) 228-7846

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Russell W Dern
Gender	Male
Speciality	Clinical Psychologist
Experience	42 Years
Location	975 Kingsivew Drive, Lebanon, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Russell W Dern graduated from medical school in 1982

NPI Data:

NPI Number: 1568438497
Provider Enumeration Date: 02/28/2006
Last Update Date: 05/22/2018

Medicare PECOS Information:

PECOS PAC ID: 7719882612
Enrollment ID: I20040804000071

Medical Identifiers

Medical identifiers for Mr Russell W Dern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568438497	NPI	-	NPPES
11489916	Other	OH	CAQH
0630884	Medicaid	OH
000000012343	Other	OH	ANTHEM PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3444 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Mental Health Centers Of Warren County, Inc	0446155337	8

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. Mr Russell W Dern allows following entities to bill medicare on his behalf.

Entity Name	Community Mental Health Centers Of Warren County, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740278381 PECOS PAC ID: 0446155337 Enrollment ID: O20031204000135

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. Mr Russell W Dern 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
Mr Russell W Dern, PHD 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 Ph: (513) 228-7800	Mr Russell W Dern, PHD 975 Kingsivew Drive, Bldg A, Lebanon, OH 45036-9562 Ph: (513) 228-7800

Reviews and Comments

Psychologist in Lebanon, OH

Mrs. Sarah Kinnison, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Holbrook Ave, Lebanon, OH 45036 Phone: 513-934-5383
Dr. Paul J Walker Sr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5787 St Route 63, Lebanon, OH 45036 Phone: 513-932-3388 Fax: 513-934-2901
Dr. Annette Marie Kosmac, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1879 Deerfield Rd, Lebanon, OH 45036 Phone: 513-695-2900
Elizabeth Paige Sebastian, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 759 Columbus Ave, Lebanon, OH 45036 Phone: 513-932-4337
Elizaabeth Osborn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1297 Weathervane Way, Lebanon, OH 45036 Phone: 513-519-6611
Dr. Cynthia Miner, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 E Silver St, Lebanon, OH 45036 Phone: 513-934-0370 Fax: 513-934-4302

Mr Russell W Dern, PHD - Medicare Psychologist in Lebanon, OH