Mr Scot Liepack, PHD | |
6601 W Thomas Rd, Phoenix, AZ 85033-5700 | |
(602) 243-7277 | |
(623) 247-9742 |
Full Name | Mr Scot Liepack |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 27 Years |
Location | 6601 W Thomas Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912924853 | NPI | - | NPPES |
756791 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY722 (Hawaii) | Secondary |
103TC0700X | Psychologist - Clinical | PSY1543 (New Mexico) | Primary |
103T00000X | Psychologist | 4061 (Arizona) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Presbyterian Hospital | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Mr Scot Liepack, PHD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Mr Scot Liepack, PHD 6601 W Thomas Rd, Phoenix, AZ 85033-5700 Ph: (602) 243-7277 |
Dr. Carolyn J Cavanaugh Toft, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 E Earll Dr, Suite 420, Phoenix, AZ 85012 Phone: 480-329-6791 Fax: 602-279-0297 | |
Marcia C Diederich, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25250 N 35th Ave, Phoenix, AZ 85083 Phone: 623-445-7100 Fax: 623-445-7180 | |
Melissa Ann Lake, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4552 W Cottontail Rd, Phoenix, AZ 85086 Phone: 201-232-9916 | |
Dr. Brian M Mcdonald, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-957-2507 Fax: 602-265-8533 | |
Efrat Eichenbaum, LP, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 222 W Thomas Rd Ste 401, Phoenix, AZ 85013 Phone: 602-406-3473 Fax: 602-406-4406 | |
Amanda Aaron Hackwell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11431 N 39th Pl, Phoenix, AZ 85028 Phone: 541-646-6442 | |
Dr. Ronald L. Willcoxon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18647 N 20th Street, Phoenix, AZ 85024 Phone: 602-867-9660 Fax: 602-867-2762 |