Dr Bruce Warner Shackleton, EDD in Wayland, MA - Medicare Psychologist Provider

Dr Bruce Warner Shackleton, EDD is a medicare enrolled "Psychologist - Clinical" provider in Wayland, Massachusetts. His current practice location is 35 Main Street #3, Wayland, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 655-6322.

Dr Bruce Warner Shackleton is licensed to practice in Massachusetts (license number 2621) 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 1750474383.

Contact Information

	Dr Bruce Warner Shackleton, EDD
	35 Main Street #3, Wayland, MA 01778
	(508) 655-6322
	(508) 655-9793

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bruce Warner Shackleton
Gender	Male
Speciality	Psychologist - Clinical
Location	35 Main Street #3, Wayland, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750474383
Provider Enumeration Date: 10/02/2006
Last Update Date: 02/26/2010

Medicare PECOS Information:

PECOS PAC ID: 4587644422
Enrollment ID: I20040722000107

Medical Identifiers

Medical identifiers for Dr Bruce Warner Shackleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750474383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2621 (Massachusetts)	Primary
103T00000X	Psychologist	2621 (Massachusetts)	Secondary

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 Bruce Warner Shackleton 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 Bruce Warner Shackleton, EDD Post Office Box 5232, Wayland, MA 01778 Ph: (508) 655-6322	Dr Bruce Warner Shackleton, EDD 35 Main Street #3, Wayland, MA 01778 Ph: (508) 655-6322

Reviews and Comments

Psychologist in Wayland, MA

Helena M Leet Pellegrini, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 61 Sherman Bridge Rd, Wayland, MA 01778 Phone: 508-358-5158 Fax: 508-358-0186
Alethea Desrosiers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13 Rice Spring Ln, Wayland, MA 01778 Phone: 609-602-1466
Dr. Nicolina Marie Fedele, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 Stonebridge Rd, Wayland, MA 01778 Phone: 508-655-4517 Fax: 508-655-4517
Dr. Elizabeth Trace Slater, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 Concord Rd, Wayland, MA 01778 Phone: 508-358-7555 Fax: 508-358-6685
Dr. Judith Parker Leavitt, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35 Main St, Wayland, MA 01778 Phone: 508-653-8874
Dr. Alexander Michael Lemiszki, M.A., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Sherman Bridge Rd, Wayland, MA 01778 Phone: 508-397-5689
Dr. Michael G Hehir, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Boston Post Rd, Wayland, MA 01778 Phone: 508-358-1112 Fax: 508-358-3441

Dr Bruce Warner Shackleton, EDD - Medicare Psychologist in Wayland, MA