Dale Schulz, is a medicare enrolled "Psychologist - Clinical" provider in Lignum, Virginia. His current practice location is
23164 Dragoon Rd, Lignum, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 208-1539.
Dale Schulz is licensed to practice in Virginia (license number 0810000276) 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 1972631257.
Healthcare Provider's Profile
| Full Name | Dale Schulz |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 23164 Dragoon Rd, Lignum, Virginia |
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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: 1972631257
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 09/16/2008
Medicare PECOS Information:
- PECOS PAC ID: 9436345261
- Enrollment ID: I20240715002627
Medical Identifiers
Medical identifiers for Dale Schulz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972631257 | NPI | - | NPPES |
| 0810000276 | Other | VA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 0810000276 (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. Dale Schulz allows following entities to bill medicare on his behalf.
| Entity Name | St George Medical Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497853600
PECOS PAC ID: 7911996244
Enrollment ID: O20040511000664 |
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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. Dale Schulz 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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Dale Schulz,
23164 Dragoon Road,
Lignum, VA 22726-2036
Ph: (703) 208-1539 | Dale Schulz,
23164 Dragoon Rd,
Lignum, VA 22726-2036
Ph: (703) 208-1539 |
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