Dr Domonique Casper Shaw, PHD in Sacramento, CA - Medicare Psychologist Provider

Dr Domonique Casper Shaw, PHD is a medicare enrolled "Psychologist" provider in Sacramento, California. Her current practice location is 3401 Beech St, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (169) 640-8050.

Dr Domonique Casper Shaw is licensed to practice in * (Not Available) (license number ) 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 1033561501.

Contact Information

	Dr Domonique Casper Shaw, PHD
	3401 Beech St, Sacramento, CA 95652
	(169) 640-8050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Domonique Casper Shaw
Gender	Female
Speciality	Psychologist
Location	3401 Beech St, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033561501
Provider Enumeration Date: 07/08/2016
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5991055279
Enrollment ID: I20180906003396

Medical Identifiers

Medical identifiers for Dr Domonique Casper Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033561501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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 Domonique Casper Shaw allows following entities to bill medicare on her behalf.

Entity Name	Hisham Soliman Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700199080 PECOS PAC ID: 9436282191 Enrollment ID: O20100802000172

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 Domonique Casper Shaw 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 Domonique Casper Shaw, PHD 580 Columbia Ave, Apt 5, Sunnyvale, CA 94085-4481 Ph: () -	Dr Domonique Casper Shaw, PHD 3401 Beech St, Sacramento, CA 95652 Ph: (169) 640-8050

Reviews and Comments

Psychologist in Sacramento, CA

Brandi Hawk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3671 Business Dr, Suite 110, Sacramento, CA 95820 Phone: 916-734-3125
Dr. Oscar Steven Escobar, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1500 W El Camino Ave # 420, Sacramento, CA 95833 Phone: 201-240-2495
Dr. Edward E. Hall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 418 Alhambra Blvd, Sacramento, CA 95816 Phone: 916-441-2210 Fax: 916-442-7002
Dr. Hengameh Roohi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 T St, Sacramento, CA 95816 Phone: 916-993-2677
Dr. Margaret See-kee Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2530 J St, Suite 310, Sacramento, CA 95816 Phone: 858-354-6999 Fax: 619-688-9222
Dr. Tiffany Rose Mimms, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1521 Corporate Way, Ste 200, Sacramento, CA 95831 Phone: 916-216-8433
Dr. Melissa L Jinariu, PSY.D., LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3671 Business Center Dr., Sacramento, CA 95820 Phone: 916-734-2278 Fax: 916-734-4150

Dr Domonique Casper Shaw, PHD - Medicare Psychologist in Sacramento, CA