| Thomas Pankau, PHD | |
|
2525 Nw Lovejoy St, Portland, OR 97210-2859 | |
| (206) 617-5982 | |
| Not Available |
| Full Name | Thomas Pankau |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 4 Years |
| Location | 2525 Nw Lovejoy St, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467128876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3991 (Oregon) | Primary |
| 103TC0700X | Psychologist - Clinical | 35135 (California) | Secondary |
| 174400000X | Specialist | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Psychological And Counseling Services Llc | 7719975085 | 331 |
| Entity Name | Western Psychological and Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Pankau, PHD 1985 Nw Savier St # N206, Portland, OR 97209-4303 Ph: (206) 617-5982 | Thomas Pankau, PHD 2525 Nw Lovejoy St, Portland, OR 97210-2859 Ph: (206) 617-5982 |
Ms. Alana J Duschane, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 510 Sw 3rd Ave Ste 200, Portland, OR 97204 Phone: 503-523-6738 |
Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692 |
Dr. David Hugh Haven, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ne Weidler St Ste 201, Portland, OR 97232 Phone: 503-312-0281 |
Dr. Hillel Samlan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 |
Dr. Susan Orchard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7415 N Oatman Ave, Portland, OR 97217 Phone: 503-358-6479 |
Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263 |
Alison D. Armour, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000 |