Dr Shay L Groenewold, PHD is a medicare enrolled "Psychologist - Clinical" provider in Vista, California. Her current practice location is
440 S Melrose Dr Ste 250, Vista, California. You can reach out to her office (for appointments etc.) via phone at
(760) 392-1965.
Dr Shay L Groenewold is licensed to practice in California (license number PSY32538) 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 1013201433.
Healthcare Provider's Profile
Full Name | Dr Shay L Groenewold |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 440 S Melrose Dr Ste 250, Vista, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013201433
- Provider Enumeration Date: 06/02/2011
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264893536
- Enrollment ID: I20230802003451
Medical Identifiers
Medical identifiers for Dr Shay L Groenewold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013201433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY32538 (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. Dr Shay L Groenewold allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Dr Shay L Groenewold 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 |
Dr Shay L Groenewold, PHD 440 S Melrose Dr Ste 250, Vista, CA 92081-6672 Ph: (760) 392-1965 | Dr Shay L Groenewold, PHD 440 S Melrose Dr Ste 250, Vista, CA 92081-6672 Ph: (760) 392-1965 |
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