Rita De-haan Sullivan, PHD in Medford, OR - Medicare Clinical Psychologist Provider

Rita De-haan Sullivan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Medford, Oregon. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 201 W Main St, Suite 1b, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 944-5711.

Rita De-haan Sullivan is licensed to practice in Oregon (license number 965) 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 1417034794.

Contact Information

	Rita De-haan Sullivan, PHD
	201 W Main St, Suite 1b, Medford, OR 97501-2744
	(541) 944-5711
	Not Available

Healthcare Provider's Profile

Full Name	Rita De-haan Sullivan
Gender	Female
Speciality	Clinical Psychologist
Experience	39 Years
Location	201 W Main St, Medford, 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:

Rita De-haan Sullivan graduated from medical school in 1985

NPI Data:

NPI Number: 1417034794
Provider Enumeration Date: 11/01/2006
Last Update Date: 05/11/2017

Medicare PECOS Information:

PECOS PAC ID: 0749219301
Enrollment ID: I20170112002405

Medical Identifiers

Medical identifiers for Rita De-haan Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417034794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	965 (Oregon)	Primary

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. Rita De-haan Sullivan 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
Rita De-haan Sullivan, PHD Po Box 4152, Medford, OR 97501-0154 Ph: (541) 944-5711	Rita De-haan Sullivan, PHD 201 W Main St, Suite 1b, Medford, OR 97501-2744 Ph: (541) 944-5711

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Rita De-haan Sullivan, PHD - Medicare Psychologist in Medford, OR