Dr Nicole Dock, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Blackwood, New Jersey. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Senior Care Therapy Llc and her current practice location is
111 Celestino Ct, Blackwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(862) 763-7965.
Dr Nicole Dock is licensed to practice in New Jersey (license number 35SI00529200) 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 1619376852.
Healthcare Provider's Profile
Full Name | Dr Nicole Dock |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 15 Years |
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Location | 111 Celestino Ct, Blackwood, New Jersey |
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Accepts Medicare Assignments | Yes. 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 Nicole Dock graduated from medical school in 2009
NPI Data:
- NPI Number: 1619376852
- Provider Enumeration Date: 08/13/2014
- Last Update Date: 08/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 7214158047
- Enrollment ID: I20141021000760
Medical Identifiers
Medical identifiers for Dr Nicole Dock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619376852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 35SI00529200 (New Jersey) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Senior Care Therapy Llc | 0547335366 | 120 |
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 Nicole Dock allows following entities to bill medicare on her behalf.
Entity Name | Nj Behavioral Health Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447289376 PECOS PAC ID: 0648288712 Enrollment ID: O20060331000030 |
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Entity Name | Senior Care Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563 |
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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 Nicole Dock 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 Nicole Dock, PSYD 111 Celestino Ct, Blackwood, NJ 08012-4435 Ph: (862) 763-7965 | Dr Nicole Dock, PSYD 111 Celestino Ct, Blackwood, NJ 08012-4435 Ph: (862) 763-7965 |
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