Mr William Henry Shunkamolah, PHD in Gallup, NM - Medicare Clinical Psychologist Provider

Mr William Henry Shunkamolah, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gallup, New Mexico. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Albuquerque Indian Health Center and his current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Mr William Henry Shunkamolah is licensed to practice in Arizona (license number 4506) 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 1578862504.

Contact Information

	Mr William Henry Shunkamolah, PHD
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr William Henry Shunkamolah
Gender	Male
Speciality	Clinical Psychologist
Experience	12 Years
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr William Henry Shunkamolah graduated from medical school in 2012

NPI Data:

NPI Number: 1578862504
Provider Enumeration Date: 03/16/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6709101876
Enrollment ID: I20150212000366

Medical Identifiers

Medical identifiers for Mr William Henry Shunkamolah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578862504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4506 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Albuquerque Indian Health Center	7719883164	42

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. Mr William Henry Shunkamolah allows following entities to bill medicare on his behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

Entity Name	Albuquerque Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659458917 PECOS PAC ID: 7719883164 Enrollment ID: O20031208001026

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. Mr William Henry Shunkamolah 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
Mr William Henry Shunkamolah, PHD Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Mr William Henry Shunkamolah, PHD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Psychologist in Gallup, NM

Belinda Cross, MS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1828
Sharna J Sutherin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1396
Mary Lindenmeyer, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, P. O. 1318, Gallup, NM 87301 Phone: 505-722-4101
Dr. Marita Delaney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828
Matthew Dennis Jones, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1396
Dr. Mary S Loescher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800
Ms. Phyllis Pine, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800

Mr William Henry Shunkamolah, PHD - Medicare Psychologist in Gallup, NM