Dr Nicole Phoenix Anderson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Ranchos, New Mexico. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Presbyterian Healthcare Services and 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 | Clinical Psychologist |
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Experience | 24 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 graduated from medical school in 2000
NPI Data:
- NPI Number: 1730126343
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 06/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 2860666120
- Enrollment ID: I20111122000853
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Presbyterian Healthcare Services | 9234041708 | 1119 |
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 Phoenix Anderson allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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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 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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