Dr Cassendra E Caceres-licos, PSYD in Nellis Afb, NV

Dr Cassendra E Caceres-licos, PSYD is a medicare enrolled "Psychologist" provider in Nellis Afb, Nevada. Her current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 653-2273.

Dr Cassendra E Caceres-licos is licensed to practice in Hawaii (license number PSY-1886) 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 1700261492.

Contact Information

	Dr Cassendra E Caceres-licos, PSYD
	4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
	(702) 653-2273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cassendra E Caceres-licos
Gender	Female
Speciality	Psychologist
Location	4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700261492
Provider Enumeration Date: 07/23/2015
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4486060811
Enrollment ID: I20210310001569

Medical Identifiers

Medical identifiers for Dr Cassendra E Caceres-licos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700261492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY-1886 (Hawaii)	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 Cassendra E Caceres-licos allows following entities to bill medicare on her behalf.

Entity Name	Hui No Ke Ola Pono Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881701357 PECOS PAC ID: 7012941594 Enrollment ID: O20050923000457

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 Cassendra E Caceres-licos 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 Cassendra E Caceres-licos, PSYD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273	Dr Cassendra E Caceres-licos, PSYD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273

Reviews and Comments

Psychologist in Nellis Afb, NV

Cynthia Schmidt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Attn: Credentials Office, Nellis Afb, NV 89191 Phone: 702-653-3067 Fax: 701-653-3398
Valerie Galante, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-404-1142
Lauren N Henry, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3880
Dr. Sara Kelly Flanagan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Daniel Marciel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Christian Pio Larco, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191 Phone: 702-679-9659
Dr. Darnell Rae Schuettler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-404-1142

Dr Cassendra E Caceres-licos, PSYD - Medicare Psychologist in Nellis Afb, NV