Dr Susan L Shackelford, PHD in Fayetteville, AR - Medicare Clinical Psychologist Provider

Dr Susan L Shackelford, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fayetteville, Arkansas. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Susan L Shackelford, Phd And Associates, Pa and her current practice location is 1 W Sunbridge Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 443-5575.

Dr Susan L Shackelford is licensed to practice in Arkansas (license number 97-04P) 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 1427081454.

Contact Information

	Dr Susan L Shackelford, PHD
	1 W Sunbridge Dr, Fayetteville, AR 72703-1825
	(479) 443-5575
	(479) 443-9554

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan L Shackelford
Gender	Female
Speciality	Clinical Psychologist
Experience	28 Years
Location	1 W Sunbridge Dr, Fayetteville, Arkansas
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:

Dr Susan L Shackelford graduated from medical school in 1996

NPI Data:

NPI Number: 1427081454
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4284896655
Enrollment ID: I20120501000242

Medical Identifiers

Medical identifiers for Dr Susan L Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427081454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	97-04P (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Susan L Shackelford, Phd And Associates, Pa	8820071418	3

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. Dr Susan L Shackelford allows following entities to bill medicare on her behalf.

Entity Name	Susan L Shackelford, Phd & Associates, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205976099 PECOS PAC ID: 8820071418 Enrollment ID: O20120501000220

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. Dr Susan L Shackelford 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
Dr Susan L Shackelford, PHD 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 Ph: (479) 443-5575	Dr Susan L Shackelford, PHD 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 Ph: (479) 443-5575

Reviews and Comments

Psychologist in Fayetteville, AR

Mr. Clark Robert Thompson, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 86 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-435-6360
Dr. Janissa D Jackson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575 Fax: 479-443-9554
Dr. Thomas T. Lawson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-444-1400 Fax: 479-444-1422
Russell T House, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 60 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-695-1240 Fax: 479-750-4843
Dr. Rosalyn D Davis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 N Garland Ave, Pat Walker Health Center Room 255, Fayetteville, AR 72701 Phone: 479-575-5276
Dr. Lissette Vanessa Valenzuela, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-5276
Dr. Vickie L. West, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 179 N Church Ave Ste 201, Fayetteville, AR 72701 Phone: 479-521-4909

Dr Susan L Shackelford, PHD - Medicare Psychologist in Fayetteville, AR