A Nicholas Depace, PHD in Lexington, SC - Medicare Psychologist Provider

A Nicholas Depace, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lexington, South Carolina. His current practice location is 123 Library Hill Ln, Suite B, Lexington, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 358-9410.

A Nicholas Depace is licensed to practice in South Carolina (license number 828) 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 1982755054.

Contact Information

	A Nicholas Depace, PHD
	123 Library Hill Ln, Suite B, Lexington, SC 29072-3895
	(803) 358-9410
	(803) 358-9409

Map and Direction

Healthcare Provider's Profile

Full Name	A Nicholas Depace
Gender	Male
Speciality	Psychologist - Clinical
Location	123 Library Hill Ln, Lexington, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982755054
Provider Enumeration Date: 01/16/2007
Last Update Date: 08/11/2011

Medicare PECOS Information:

PECOS PAC ID: 4789672288
Enrollment ID: I20040504000495

Medical Identifiers

Medical identifiers for A Nicholas Depace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982755054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	828 (South Carolina)	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. A Nicholas Depace allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. A Nicholas Depace 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
A Nicholas Depace, PHD P. O. Box 1438, Lexington, SC 29071 Ph: (803) 358-9410	A Nicholas Depace, PHD 123 Library Hill Ln, Suite B, Lexington, SC 29072-3895 Ph: (803) 358-9410

Reviews and Comments

Psychologist in Lexington, SC

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Mr. Gregory Lee Feeback, M.A., ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 Dover Ct, Lexington, SC 29072 Phone: 803-758-1408
Dr. Patricia Lee Pruitt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2437 Mineral Springs Rd Ste C, Lexington, SC 29072 Phone: 803-520-8295 Fax: 803-520-8298
Marissa Guarino, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 203 W Main St Ste G1, Lexington, SC 29072 Phone: 803-731-6699

A Nicholas Depace, PHD - Medicare Psychologist in Lexington, SC