Dr Nicole Phoenix Anderson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Ranchos, New Mexico. Her current practice location is
6501 4th St Nw, F4, Los Ranchos, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 344-9641.
Dr Nicole Phoenix Anderson is licensed to practice in New Mexico (license number 0976) 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 1730126343.
Healthcare Provider's Profile
Full Name | Dr Nicole Phoenix Anderson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 6501 4th St Nw, Los Ranchos, New Mexico |
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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 Phoenix Anderson attended and graduated from in
NPI Data:
- NPI Number: 1730126343
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 06/20/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Nicole Phoenix Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730126343 | NPI | - | NPPES |
39703754 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 0976 (New Mexico) | Primary |
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 Phoenix Anderson 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 Phoenix Anderson, PHD Po Box 66684, Albuquerque, NM 87193-6684 Ph: (505) 344-9641 | Dr Nicole Phoenix Anderson, PHD 6501 4th St Nw, F4, Los Ranchos, NM 87107-5800 Ph: (505) 344-9641 |
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