Ronald Woodrow Brill Ii, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bristol, Virginia. His current practice location is
800 Euclid Ave, Bristol, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 591-1122.
Ronald Woodrow Brill Ii is licensed to practice in Virginia (license number 0810002356) 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 1811065980.
Healthcare Provider's Profile
| Full Name | Ronald Woodrow Brill Ii |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 800 Euclid Ave, Bristol, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811065980
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 09/11/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092791053
- Enrollment ID: I20040629000788
Medical Identifiers
Medical identifiers for Ronald Woodrow Brill Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811065980 | NPI | - | NPPES |
| 007727 | Other | | VALUE OPTIONS |
| 87726 | Other | | UNITED BEHAVIORAL HEALTH |
| 056271 | Other | | ANTHEM |
| 056271 | Other | | TRIGON |
| 4037975 | Other | | BC BS TN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 0810002356 (Virginia) | 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. Ronald Woodrow Brill Ii allows following entities to bill medicare on his behalf.
| Entity Name | Tamarack Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649272352
PECOS PAC ID: 0941398002
Enrollment ID: O20071127000066 |
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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. Ronald Woodrow Brill Ii 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 |
|---|
Ronald Woodrow Brill Ii, PHD
800 Euclid Ave,
Bristol, VA 24201-3916
Ph: (276) 591-1122 | Ronald Woodrow Brill Ii, PHD
800 Euclid Ave,
Bristol, VA 24201-3916
Ph: (276) 591-1122 |
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