Mr Raymond Joseph Nickerson, PSYD - Medicare Couples Therapy in Richmond, CA

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Mr Raymond Joseph Nickerson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Richmond, California. His current practice location is 3095 Richmond Pkwy Ste 201, Richmond, California. You can reach out to his office (for appointments etc.) via phone at (510) 282-4211.

Mr Raymond Joseph Nickerson is licensed to practice in California (license number PSY31676) 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 1982969226.

Contact Information

Mr Raymond Joseph Nickerson, PSYD
3095 Richmond Pkwy Ste 201,
Richmond, CA 94806-5878
(510) 282-4211
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Raymond Joseph Nickerson
GenderMale
SpecialityPsychologist - Clinical
Location3095 Richmond Pkwy Ste 201, Richmond, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982969226
  • Provider Enumeration Date: 07/12/2012
  • Last Update Date: 04/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6901222397
  • Enrollment ID: I20200811003638

Medical Identifiers

Medical identifiers for Mr Raymond Joseph Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982969226NPI-NPPES
1245393503OtherMEDICAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist LMFT47165 (California)Secondary
103TC0700XPsychologist - Clinical PSY31676 (California)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. Mr Raymond Joseph Nickerson allows following entities to bill medicare on his behalf.
Entity NamePortia Bell Hume Behavioral Health And Training Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760489439
PECOS PAC ID: 0547251688
Enrollment ID: O20040519000374

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. Mr Raymond Joseph Nickerson 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 AddressPractice Location Address
Mr Raymond Joseph Nickerson, PSYD
4175 Lakeside Dr,
Richmond, CA 94806-5774

Ph: (510) 262-6551		Mr Raymond Joseph Nickerson, PSYD
3095 Richmond Pkwy Ste 201,
Richmond, CA 94806-5878

Ph: (510) 282-4211

Reviews and Comments


Psychologist in Richmond, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.