Dr Eugene A Shooter, Jr, PHD - Medicare Psychologist in Alexandria, VA

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Dr Eugene A Shooter, Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Alexandria, Virginia. His current practice location is 5276 Dawes Ave, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 379-7350.

Dr Eugene A Shooter, Jr is licensed to practice in Virginia (license number 00810002612) 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 1720024821.

Contact Information

Dr Eugene A Shooter, Jr, PHD
5276 Dawes Ave,
Alexandria, VA 22311-1404
(703) 379-7350
(703) 379-7352

Map and Direction




Healthcare Provider's Profile

Full NameDr Eugene A Shooter, Jr
GenderMale
SpecialityPsychologist - Clinical
Location5276 Dawes Ave, Alexandria, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720024821
  • Provider Enumeration Date: 06/20/2006
  • Last Update Date: 03/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1153736525
  • Enrollment ID: I20210217000061

Medical Identifiers

Medical identifiers for Dr Eugene A Shooter, Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720024821NPI-NPPES
110936OtherVAPCI APS
2787110OtherVAPCI AETNA
142975OtherVAT-MED BC/BS VA
158367OtherVAPCI TRICARE
158367OtherVAPCI VALUE OPTIONS
48900016OtherVACAREFIRST BC/BS
453769OtherVAPCI ANTHEM
G3960017OtherDCBCBS DC
2122539OtherVAMAMSI
228758OtherVAPCI KAISER PERMANENTE
9123953OtherVAPHCS
142975OtherVAANTHEM HEALTHKEEPERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 00810002612 (Virginia)Primary
103TC0700XPsychologist - Clinical PSY1878 (District Of Columbia)Secondary
103TC0700XPsychologist - Clinical PSY518 (Hawaii)Secondary

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 Eugene A Shooter, Jr allows following entities to bill medicare on his behalf.
Entity NamePotomac Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457403099
PECOS PAC ID: 2860484094
Enrollment ID: O20040330001518

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 Eugene A Shooter, Jr 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
Dr Eugene A Shooter, Jr, PHD
5276 Dawes Ave,
Alexandria, VA 22311-1404

Ph: (703) 379-7350		Dr Eugene A Shooter, Jr, PHD
5276 Dawes Ave,
Alexandria, VA 22311-1404

Ph: (703) 379-7350

Reviews and Comments


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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.

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