Dr Susan Skolek, PSYD is a medicare enrolled "Psychologist" provider in Guerneville, California. Her current practice location is
16319 Third Street, Guerneville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 869-2849.
Dr Susan Skolek is licensed to practice in California (license number PSY20220) 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 1114923745.
Healthcare Provider's Profile
| Full Name | Dr Susan Skolek |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 16319 Third Street, Guerneville, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114923745
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 04/04/2008
Medicare PECOS Information:
- PECOS PAC ID: 6305888181
- Enrollment ID: I20130522000543
Medical Identifiers
Medical identifiers for Dr Susan Skolek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114923745 | NPI | - | NPPES |
| FHC03887F | Medicaid | CA | |
| ZZZ73222Z | Other | | MEDICARE ID |
| FHC70957F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY20220 (California) | Primary |
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 Susan Skolek 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 Susan Skolek, PSYD
Po Box 1449,
Guerneville, CA 95446-1449
Ph: (707) 869-2849 | Dr Susan Skolek, PSYD
16319 Third Street,
Guerneville, CA 95446
Ph: (707) 869-2849 |
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