Dr Shelly Denise Minor, PHD is a medicare enrolled "Psychologist" provider in Bethel Island, California. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
6327 Bethel Island Road, Suite A, Bethel Island, California. You can reach out to her office (for appointments etc.) via phone at
(925) 550-0540.
Dr Shelly Denise Minor is licensed to practice in California (license number 21477) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891977435.
Healthcare Provider's Profile
| Full Name | Dr Shelly Denise Minor |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 21 Years |
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| Location | 6327 Bethel Island Road, Bethel Island, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shelly Denise Minor graduated from medical school in 2004
NPI Data:
- NPI Number: 1891977435
- Provider Enumeration Date: 12/05/2007
- Last Update Date: 02/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 8729264882
- Enrollment ID: I20110525000662
Medical Identifiers
Medical identifiers for Dr Shelly Denise Minor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891977435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 21477 (California) | 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 Shelly Denise Minor 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 Shelly Denise Minor, PHD
6327 Bethel Island Road Suite A,
Bethel Island, CA 94511
Ph: (925) 550-0540 | Dr Shelly Denise Minor, PHD
6327 Bethel Island Road, Suite A,
Bethel Island, CA 94511-1011
Ph: (925) 550-0540 |
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