Dr Jonathan Shaffer, PHD in Arvada, CO - Medicare Psychologist Provider

Dr Jonathan Shaffer, PHD is a medicare enrolled "Psychologist - Clinical" provider in Arvada, Colorado. His current practice location is 6121 W 60th Ave, Arvada, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 420-4550.

Dr Jonathan Shaffer is licensed to practice in New York (license number 019151) 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 1801170220.

Contact Information

	Dr Jonathan Shaffer, PHD
	6121 W 60th Ave, Arvada, CO 80003-5603
	(303) 420-4550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Shaffer
Gender	Male
Speciality	Psychologist - Clinical
Location	6121 W 60th Ave, Arvada, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801170220
Provider Enumeration Date: 10/04/2011
Last Update Date: 08/01/2016

Medicare PECOS Information:

PECOS PAC ID: 6406141035
Enrollment ID: I20160822002363

Medical Identifiers

Medical identifiers for Dr Jonathan Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801170220	NPI	-	NPPES
13862744	Other	CO	CAQH
PSY.0004404	Other	CO	PROFESSIONAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	019151 (New York)	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. Dr Jonathan Shaffer allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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 Jonathan Shaffer 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 Jonathan Shaffer, PHD 4860 Robb St, Suite 201, Wheat Ridge, CO 80033-2184 Ph: (303) 278-7418	Dr Jonathan Shaffer, PHD 6121 W 60th Ave, Arvada, CO 80003-5603 Ph: (303) 420-4550

Reviews and Comments

Psychologist in Arvada, CO

Dr. Sonja Bunke Holt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5460 Ward Rd, Suite 130, Arvada, CO 80002 Phone: 303-525-6855 Fax: 303-424-3271
Mr. Weston Verlaine Donaldson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8175 Sheridan Blvd Unit N, Arvada, CO 80003 Phone: 303-557-0855 Fax: 720-336-3149
Rajmatie Hardial-hosein, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6755 Beech Ct, Arvada, CO 80004 Phone: 646-416-1336
Dr. Veronica Elaine Hoegler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6355 Ward Rd, #209, Arvada, CO 80004 Phone: 303-424-2811 Fax: 303-763-2790
David Lloyd Avram, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 11005 Ralston Rd Ste 100g, Arvada, CO 80004 Phone: 303-360-6276 Fax: 303-789-7222
Dr. Valerie Elaine Stone, PH.D., R.C.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8241 W Pomona Dr, Arvada, CO 80005 Phone: 720-498-7926 Fax: 720-815-0222
Dr. Morris Daniel Fishbein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5265 Vance St, Arvada, CO 80002 Phone: 303-432-5149 Fax: 303-432-5036

Dr Jonathan Shaffer, PHD - Medicare Psychologist in Arvada, CO