Elizabeth L Nickels, MA, PSYD in San Leandro, CA - Medicare Psychologist Provider

Elizabeth L Nickels, MA, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Leandro, California. Her current practice location is 400 Estudillo Ave Ste 100, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 746-1188.

Elizabeth L Nickels is licensed to practice in California (license number PSY22119) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184882607.

Contact Information

	Elizabeth L Nickels, MA, PSYD
	400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962
	(510) 746-1188
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth L Nickels
Gender	Female
Speciality	Psychologist - Clinical
Location	400 Estudillo Ave Ste 100, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184882607
Provider Enumeration Date: 05/30/2008
Last Update Date: 02/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8224468731
Enrollment ID: I20200424000997

Medical Identifiers

Medical identifiers for Elizabeth L Nickels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184882607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY22119 (California)	Primary

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. Elizabeth L Nickels allows following entities to bill medicare on her behalf.

Entity Name	Stars, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205992096 PECOS PAC ID: 0547449621 Enrollment ID: O20110120001103

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. Elizabeth L Nickels 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
Elizabeth L Nickels, MA, PSYD 2662 Wallace St, Oakland, CA 94606-3346 Ph: (510) 414-2416	Elizabeth L Nickels, MA, PSYD 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962 Ph: (510) 746-1188

Reviews and Comments

Psychologist in San Leandro, CA

Devonna Jacobs, Psychologist Medicare: Medicare Enrolled Practice Location: 3081 Teagarden St, San Leandro, CA 94577 Phone: 510-347-4620
Ms. Brittany Schnebly, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3081 Teagarden St, San Leandro, CA 94577 Phone: 510-347-4620
Dr. James W. Kurkjian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13851 E 14th St, Ste. 203, San Leandro, CA 94578 Phone: 510-351-4311
Erica Wandner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13666 East 14th St, San Leandro, CA 94578 Phone: 510-357-5515 Fax: 510-357-5112
Dr. Janice Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 Fairmont Dr, San Leandro, CA 94578 Phone: 510-667-3009 Fax: 510-667-3005
Dr. Kimberly A Bradley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Aniefiok Gaully, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Estudillo Ave Ste 201, San Leandro, CA 94577 Phone: 510-221-6233

Elizabeth L Nickels, MA, PSYD - Medicare Psychologist in San Leandro, CA