Dr Shannon Leah Hendrickson, PSYD in Surprise, AZ - Medicare Psychologist Provider

Dr Shannon Leah Hendrickson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Surprise, Arizona. Her current practice location is 15411 W Waddell Rd, Ste 102, #1096, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 492-2995.

Dr Shannon Leah Hendrickson is licensed to practice in Arizona (license number 4779) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629510169.

Contact Information

	Dr Shannon Leah Hendrickson, PSYD
	15411 W Waddell Rd, Ste 102, #1096, Surprise, AZ 85379
	(602) 492-2995
	(623) 288-8017

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shannon Leah Hendrickson
Gender	Female
Speciality	Psychologist - Clinical
Location	15411 W Waddell Rd, Ste 102, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629510169
Provider Enumeration Date: 11/15/2016
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9436569886
Enrollment ID: I20201113001312

Medical Identifiers

Medical identifiers for Dr Shannon Leah Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629510169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4779 (Arizona)	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 Shannon Leah Hendrickson allows following entities to bill medicare on her behalf.

Entity Name	Desert Sage Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891201521 PECOS PAC ID: 7416217153 Enrollment ID: O20180129001056

Entity Name	Levitan And Associates Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598210767 PECOS PAC ID: 9335576198 Enrollment ID: O20210504003062

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 Shannon Leah Hendrickson 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 Shannon Leah Hendrickson, PSYD 15411 W Waddell Rd, Ste 102, #1096, Surprise, AZ 85379 Ph: (602) 492-2995	Dr Shannon Leah Hendrickson, PSYD 15411 W Waddell Rd, Ste 102, #1096, Surprise, AZ 85379 Ph: (602) 492-2995

Reviews and Comments

Psychologist in Surprise, AZ

James A Leroy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12425 W Bell Rd, Suite 200, Surprise, AZ 85378 Phone: 623-374-7774 Fax: 623-240-1110
Jennifer Hargrave, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7022
Mrs. Marni Marie Lahti, MA, MSE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022
Dr. Alicja Stewart, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774
Dr. Mary Kay Cragan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16913 W Dale Ln, Surprise, AZ 85387 Phone: 623-584-8392
Dr. Sherrie Lee Somershoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13985 W Grand Ave, Surprise, AZ 85374 Phone: 623-340-4249
Cindy S Poe, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14804 W Charter Oak Rd, Surprise, AZ 85379 Phone: 623-298-7383

Dr Shannon Leah Hendrickson, PSYD - Medicare Psychologist in Surprise, AZ