Katherine Shadish, PHD - Medicare Psychologist in San Mateo, CA

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Katherine Shadish, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Mateo, California. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice County Of San Mateo and her current practice location is 222 W 39th Ave, San Mateo, California. You can reach out to her office (for appointments etc.) via phone at (408) 975-2730.

Katherine Shadish is licensed to practice in California (license number 30634) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336589043.

Contact Information

Katherine Shadish, PHD
222 W 39th Ave,
San Mateo, CA 94403-4364
(408) 975-2730
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKatherine Shadish
GenderFemale
SpecialityClinical Psychologist
Experience9 Years
Location222 W 39th Ave, San Mateo, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katherine Shadish graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1336589043
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 01/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3779822200
  • Enrollment ID: I20190228000756

Medical Identifiers

Medical identifiers for Katherine Shadish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336589043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 30634 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (NU)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of San Mateo9032023171316

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. Katherine Shadish allows following entities to bill medicare on her behalf.
Entity NameCounty of San Mateo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679642326
PECOS PAC ID: 9032023171
Enrollment ID: O20031126000292
Entity NameCounty of San Mateo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831268580
PECOS PAC ID: 9032023171
Enrollment ID: O20040123000822

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. Katherine Shadish 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
Katherine Shadish, PHD
222 W 39th Ave,
San Mateo, CA 94403-4364

Ph: Not Available		Katherine Shadish, PHD
222 W 39th Ave,
San Mateo, CA 94403-4364

Ph: (408) 975-2730

Reviews and Comments


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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).

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