Randy L Telander, PHD in Fulton, MO - Medicare Psychologist Provider

Randy L Telander, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fulton, Missouri. His current practice location is 600 E 5th St, Fulton, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 592-2623.

Randy L Telander is licensed to practice in Missouri (license number 2006000183) 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 1487691994.

Contact Information

	Randy L Telander, PHD
	600 E 5th St, Fulton, MO 65251-1753
	(573) 592-2623
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randy L Telander
Gender	Male
Speciality	Psychologist - Clinical
Location	600 E 5th St, Fulton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487691994
Provider Enumeration Date: 06/01/2006
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2466467329
Enrollment ID: I20060214000153

Medical Identifiers

Medical identifiers for Randy L Telander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487691994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2006000183 (Missouri)	Secondary
103TC0700X	Psychologist - Clinical	2006000183 (Missouri)	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. Randy L Telander allows following entities to bill medicare on his behalf.

Entity Name	Deer Oaks Mental Health Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20040813000106

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. Randy L Telander 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
Randy L Telander, PHD 1302 Stablestone Ln, Columbia, MO 65201-2892 Ph: (573) 489-8573	Randy L Telander, PHD 600 E 5th St, Fulton, MO 65251-1753 Ph: (573) 592-2623

Reviews and Comments

Psychologist in Fulton, MO

Bryan Zolnikov, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623 Fax: 573-592-3001
Dr. Jeffrey R Nolting, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2195
Eric Martin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623
Dr. Sharon Robbins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-3365
Kirsten Deming Hunter, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623
James Bridges, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623
Megan O'grady, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2613

Randy L Telander, PHD - Medicare Psychologist in Fulton, MO