Zachary Robert Shindorf, is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Boys Town, Nebraska. His current practice location is
13460 Walsh Dr, Boys Town, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(531) 355-3358.
Zachary Robert Shindorf is licensed to practice in Rhode Island (license number PS01912) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952891624.
Healthcare Provider's Profile
| Full Name | Zachary Robert Shindorf |
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| Gender | Male |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 13460 Walsh Dr, Boys Town, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952891624
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 11/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527470996
- Enrollment ID: I20201209002458
Medical Identifiers
Medical identifiers for Zachary Robert Shindorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952891624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 11459 (Nebraska) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS01912 (Rhode Island) | 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. Zachary Robert Shindorf allows following entities to bill medicare on his behalf.
| Entity Name | Emma Pendleton Bradley Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578768867
PECOS PAC ID: 3870527526
Enrollment ID: O20050921001082 |
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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. Zachary Robert Shindorf 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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Zachary Robert Shindorf,
117 Ellenfield St Ste 101,
Providence, RI 02905-4541
Ph: (401) 444-6779 | Zachary Robert Shindorf,
13460 Walsh Dr,
Boys Town, NE 68010-7529
Ph: (531) 355-3358 |
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