Travis Martin Shivley-scott, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Mather, California. He went to Fordham University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Brain And Behavioral Associates, Pc and his current practice location is
10535 Hospital Way, Mather, California. You can reach out to his office (for appointments etc.) via phone at
(916) 765-1903.
Travis Martin Shivley-scott is licensed to practice in California (license number 32064) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609445444.
Healthcare Provider's Profile
| Full Name | Travis Martin Shivley-scott |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 10535 Hospital Way, Mather, California |
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| Accepts Medicare Assignments | Yes. He 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:
- Travis Martin Shivley-scott attended and graduated from Fordham University School Of Medicine in 2019
NPI Data:
- NPI Number: 1609445444
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 10/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698136836
- Enrollment ID: I20230803002188
Medical Identifiers
Medical identifiers for Travis Martin Shivley-scott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609445444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 32064 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 32064 (California) | Primary |
| 103T00000X | Psychologist | 32064 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brain And Behavioral Associates, Pc | 2365616018 | 4 |
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. Travis Martin Shivley-scott allows following entities to bill medicare on his behalf.
| Entity Name | Brain And Behavioral Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467747477
PECOS PAC ID: 2365616018
Enrollment ID: O20111116000045 |
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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. Travis Martin Shivley-scott 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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Travis Martin Shivley-scott, PHD
418 Pepper Ct,
Vacaville, CA 95687-3324
Ph: () - | Travis Martin Shivley-scott, PHD
10535 Hospital Way,
Mather, CA 95655-4200
Ph: (916) 765-1903 |
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