Shawna Rae-ann Rodriguez, PSYD in Twentynine Palms, CA

Shawna Rae-ann Rodriguez, PSYD is a medicare enrolled "Psychologist" provider in Twentynine Palms, California. Her current practice location is 1145 Sturgis Rd, Twentynine Palms, California. You can reach out to her office (for appointments etc.) via phone at (760) 830-2190.

Shawna Rae-ann Rodriguez is licensed to practice in Virginia (license number 0810006364) 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 1376834614.

Contact Information

	Shawna Rae-ann Rodriguez, PSYD
	1145 Sturgis Rd, Twentynine Palms, CA 92278
	(760) 830-2190
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shawna Rae-ann Rodriguez
Gender	Female
Speciality	Psychologist
Location	1145 Sturgis Rd, Twentynine Palms, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376834614
Provider Enumeration Date: 04/20/2011
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 3274062740
Enrollment ID: I20250129000092

Medical Identifiers

Medical identifiers for Shawna Rae-ann Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376834614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	0810006364 (Virginia)	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. Shawna Rae-ann Rodriguez allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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. Shawna Rae-ann Rodriguez 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
Shawna Rae-ann Rodriguez, PSYD 33355 Fox Rd, Temecula, CA 92592-4348 Ph: (619) 985-1436	Shawna Rae-ann Rodriguez, PSYD 1145 Sturgis Rd, Twentynine Palms, CA 92278 Ph: (760) 830-2190

Reviews and Comments

Psychologist in Twentynine Palms, CA

Dr. Ryan N Reed, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7marregt Mcagcc 29 Palms, Twentynine Palms, CA 92278 Phone: 619-838-4260
Dr. Wayne Charles Boucher, PSY.D, ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: Robert E Bush Naval Hosptial, Magtftc Mcagcc, Twentynine Palms, CA 92278 Phone: 760-830-2935 Fax: 760-830-2755
Andrew Crane, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2236
Nicolette Lubin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2117

Shawna Rae-ann Rodriguez, PSYD - Medicare Psychologist in Twentynine Palms, CA