Eileen W Proctor, PHD is a medicare enrolled "Psychologist - Clinical" provider in Greenwood, California. Her current practice location is
4513 Edgewater Dr, Greenwood, California. You can reach out to her office (for appointments etc.) via phone at
(619) 569-0938.
Eileen W Proctor is licensed to practice in California (license number PSY 12736) 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 1720277536.
Healthcare Provider's Profile
Full Name | Eileen W Proctor |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 4513 Edgewater Dr, Greenwood, California |
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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:
- Eileen W Proctor attended and graduated from in
NPI Data:
- NPI Number: 1720277536
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Eileen W Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720277536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY 12736 (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. Eileen W Proctor 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 |
Eileen W Proctor, PHD 4513 Edgewater Dr, Greenwood, CA 95635-9635 Ph: (619) 569-0938 | Eileen W Proctor, PHD 4513 Edgewater Dr, Greenwood, CA 95635-9635 Ph: (619) 569-0938 |
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