Lisamarie Shelton, PSYCHOLOGIST in Fontana, CA - Medicare Psychologist Provider

Lisamarie Shelton, PSYCHOLOGIST is a medicare enrolled "Psychologist - Group Psychotherapy" provider in Fontana, California. Her current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-3910.

Lisamarie Shelton is licensed to practice in California (license number PSY17433) 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 1386977445.

Contact Information

	Lisamarie Shelton, PSYCHOLOGIST
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-3910
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisamarie Shelton
Gender	Female
Speciality	Psychologist - Group Psychotherapy
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386977445
Provider Enumeration Date: 09/08/2009
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9830326636
Enrollment ID: I20131227000965

Medical Identifiers

Medical identifiers for Lisamarie Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386977445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TP2701X	Psychologist - Group Psychotherapy	PSY17433 (California)	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. Lisamarie Shelton allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Lisamarie Shelton 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
Lisamarie Shelton, PSYCHOLOGIST 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910	Lisamarie Shelton, PSYCHOLOGIST 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910

Reviews and Comments

Psychologist in Fontana, CA

Vicki J Mcwain, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17216 Slover Ave, Building L, Fontana, CA 92337 Phone: 909-854-3420
Dr. Randall Lee Ahn, PHD, MLIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336 Phone: 909-244-9593 Fax: 833-903-0337
Adamma Unaka, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6572 Almeria St, Fontana, CA 92336 Phone: 909-231-4134
Dr. Anthony Benigno, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336 Phone: 909-244-9593
Dr. Stephen Craig Piggue, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16720 Foothill Blvd Apt C18, Fontana, CA 92335 Phone: 909-559-4506
Catrina Taylor, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7188 Wake Ct, Fontana, CA 92336 Phone: 909-499-9366

Lisamarie Shelton, PSYCHOLOGIST - Medicare Psychologist in Fontana, CA