Dr Nicholas Shockman, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Kennewick, Washington. He graduated from healthcare school in 2009 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Clinical Psychology Services Pc and his current practice location is
3311 W Clearwater Ave, Suite C-200d, Kennewick, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 491-8191.
Dr Nicholas Shockman is licensed to practice in Washington (license number 60315203) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336417716.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Shockman |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 17 Years |
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| Location | 3311 W Clearwater Ave, Kennewick, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicholas Shockman graduated from medical school in 2009
NPI Data:
- NPI Number: 1336417716
- Provider Enumeration Date: 12/13/2011
- Last Update Date: 05/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 1759515240
- Enrollment ID: I20260120003711
Medical Identifiers
Medical identifiers for Dr Nicholas Shockman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336417716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 60315203 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clinical Psychology Services Pc | 5496718793 | 11 |
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 Nicholas Shockman 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 Nicholas Shockman, PSYD
Po Box 5054,
Pasco, WA 99302-5054
Ph: (804) 972-6816 | Dr Nicholas Shockman, PSYD
3311 W Clearwater Ave, Suite C-200d,
Kennewick, WA 99336-2710
Ph: (509) 491-8191 |
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