Dr Jacqueline Shall-mccumiskey, PSY D - Medicare Psychologist in Marlton, NJ

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Dr Jacqueline Shall-mccumiskey, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Marlton, New Jersey. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 525 Route 73 N Ste 104, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (646) 479-8068.

Dr Jacqueline Shall-mccumiskey is licensed to practice in New York (license number 021797) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083160170.

Contact Information

Dr Jacqueline Shall-mccumiskey, PSY D
525 Route 73 N Ste 104,
Marlton, NJ 08053-3422
(646) 479-8068
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacqueline Shall-mccumiskey
GenderFemale
SpecialityClinical Psychologist
Experience9 Years
Location525 Route 73 N Ste 104, Marlton, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacqueline Shall-mccumiskey graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1083160170
  • Provider Enumeration Date: 08/29/2016
  • Last Update Date: 09/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597043141
  • Enrollment ID: I20230207000025

Medical Identifiers

Medical identifiers for Dr Jacqueline Shall-mccumiskey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083160170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 021797 (New York)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 Jacqueline Shall-mccumiskey allows following entities to bill medicare on her behalf.
Entity NameGo Mindful Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508580937
PECOS PAC ID: 7214309921
Enrollment ID: O20230207000019

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 Jacqueline Shall-mccumiskey 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 AddressPractice Location Address
Dr Jacqueline Shall-mccumiskey, PSY D
1675 Richmond Rd,
Staten Island, NY 10304-2317

Ph: (646) 479-8068		Dr Jacqueline Shall-mccumiskey, PSY D
525 Route 73 N Ste 104,
Marlton, NJ 08053-3422

Ph: (646) 479-8068

Reviews and Comments


Psychologist in Marlton, NJ

Cara Settipani, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 525 Route 73 N Ste 104, Marlton, NJ 08053
Phone: 201-579-0140    
Dr. Melissa Acquavella-lightfoot, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 19 E Main St, Marlton, NJ 08053
Phone: 856-985-9091    Fax: 856-985-9092
Dianna Batalla, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 30 S Maple Ave Ste 203, Marlton, NJ 08053
Phone: 516-225-7043    
Dr. Emily Kostelnik, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 525 Route 73 N Ste 104, Marlton, NJ 08053
Phone: 000-000-0000    
Dr. Gregory William Joseph, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 12000 Lincoln Dr W, Suite 105, Marlton, NJ 08053
Phone: 856-797-0791    Fax: 856-983-3426
Aleksandra Goncharova, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 525 Route 73 N Ste 104, Marlton, NJ 08053
Phone: 201-218-0433    

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