Nicole E Parker, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Osage Beach, Missouri. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lake Behavioral Health and her current practice location is
5529b Osage Beach Pkwy, Osage Beach, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 693-9090.
Nicole E Parker is licensed to practice in Missouri (license number 2016043729) 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 1497201131.
Healthcare Provider's Profile
| Full Name | Nicole E Parker |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 10 Years |
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| Location | 5529b Osage Beach Pkwy, Osage Beach, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole E Parker graduated from medical school in 2016
NPI Data:
- NPI Number: 1497201131
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 02/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315228954
- Enrollment ID: I20161220000523
Medical Identifiers
Medical identifiers for Nicole E Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497201131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 2016043729 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake Behavioral Health | 5597171736 | 3 |
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. Nicole E Parker allows following entities to bill medicare on her behalf.
| Entity Name | Lake Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366037764
PECOS PAC ID: 5597171736
Enrollment ID: O20210312000449 |
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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. Nicole E Parker 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 |
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Nicole E Parker, PSYD
Po Box 449,
Osage Beach, MO 65065-0449
Ph: (573) 693-9090 | Nicole E Parker, PSYD
5529b Osage Beach Pkwy,
Osage Beach, MO 65065-3023
Ph: (573) 693-9090 |
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