Dr Danielle Nicole Dolezal, PHD, BCBA-D in Seattle, WA

Dr Danielle Nicole Dolezal, PHD, BCBA-D is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Seattle, Washington. Her current practice location is 4800 Sand Point Way Ne, W-3621, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 987-2051.

Dr Danielle Nicole Dolezal is licensed to practice in Washington (license number PSYC.PY.60116201) 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 1427388628.

Contact Information

	Dr Danielle Nicole Dolezal, PHD, BCBA-D
	4800 Sand Point Way Ne, W-3621, Seattle, WA 98105-3901
	(206) 987-2051
	(206) 987-2246

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Danielle Nicole Dolezal
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	4800 Sand Point Way Ne, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427388628
Provider Enumeration Date: 01/11/2010
Last Update Date: 06/11/2012

Medicare PECOS Information:

PECOS PAC ID: 7416179221
Enrollment ID: I20141111002587

Medical Identifiers

Medical identifiers for Dr Danielle Nicole Dolezal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427388628	NPI	-	NPPES
PSYC.PY.60116201	Other	WA	PROFESSIONAL LICENSE NO.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PSYC.PY.60116201 (Washington)	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 Danielle Nicole Dolezal allows following entities to bill medicare on her behalf.

Entity Name	Seattle Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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 Danielle Nicole Dolezal 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 Danielle Nicole Dolezal, PHD, BCBA-D 4800 Sand Point Way Ne, W-3621, Seattle, WA 98105-3901 Ph: (206) 987-2051	Dr Danielle Nicole Dolezal, PHD, BCBA-D 4800 Sand Point Way Ne, W-3621, Seattle, WA 98105-3901 Ph: (206) 987-2051

Reviews and Comments

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Dr Danielle Nicole Dolezal, PHD, BCBA-D - Medicare Psychologist in Seattle, WA