Dr Shawn Michael Mcclintock, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Dallas, Texas. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice University Of Texas Southwestern Medical Center and his current practice location is
5323 Harry Hines Boulevard, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 645-8300.
Dr Shawn Michael Mcclintock is licensed to practice in Texas (license number 36143) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417381203.
Healthcare Provider's Profile
| Full Name | Dr Shawn Michael Mcclintock |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 5323 Harry Hines Boulevard, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shawn Michael Mcclintock graduated from medical school in 2006
NPI Data:
- NPI Number: 1417381203
- Provider Enumeration Date: 08/28/2013
- Last Update Date: 06/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244468437
- Enrollment ID: I20160506001539
Medical Identifiers
Medical identifiers for Dr Shawn Michael Mcclintock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417381203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 4455 (North Carolina) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 36143 (Texas) | Primary |
| 103T00000X | Psychologist | 36143 (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Texas Southwestern Medical Center | 0648188250 | 2569 |
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 Shawn Michael Mcclintock allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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 Shawn Michael Mcclintock 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 |
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Dr Shawn Michael Mcclintock, PHD
P.o. Box 845347,
Dallas, TX 75284-5347
Ph: (214) 645-8300 | Dr Shawn Michael Mcclintock, PHD
5323 Harry Hines Boulevard,
Dallas, TX 75390-7208
Ph: (214) 645-8300 |
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