Shirley Boone-sanford, PHD in Lawrenceville, GA - Medicare Clinical Psychologist Provider

Shirley Boone-sanford, PHD is a medicare enrolled "Psychologist" provider in Lawrenceville, Georgia. She went to Southern Illinois University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 485 S Perry St, Suite D, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 205-0838.

Shirley Boone-sanford is licensed to practice in Georgia (license number 002451) 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 1609837616.

Contact Information

	Shirley Boone-sanford, PHD
	485 S Perry St, Suite D, Lawrenceville, GA 30045-4923
	(678) 205-0838
	(678) 205-0800

Map and Direction

Healthcare Provider's Profile

Full Name	Shirley Boone-sanford
Gender	Female
Speciality	Clinical Psychologist
Experience	28 Years
Location	485 S Perry St, Lawrenceville, Georgia
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:

Shirley Boone-sanford attended and graduated from Southern Illinois University School Of Medicine in 1996

NPI Data:

NPI Number: 1609837616
Provider Enumeration Date: 03/29/2006
Last Update Date: 01/03/2008

Medicare PECOS Information:

PECOS PAC ID: 7911955034
Enrollment ID: I20050106000655

Medical Identifiers

Medical identifiers for Shirley Boone-sanford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609837616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	002451 (Georgia)	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. Shirley Boone-sanford allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

Entity Name	Sbs Psychological Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437323029 PECOS PAC ID: 7214985332 Enrollment ID: O20050105000828

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. Shirley Boone-sanford 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
Shirley Boone-sanford, PHD Po Box 2133, Lawrenceville, GA 30046-2133 Ph: (678) 205-0838	Shirley Boone-sanford, PHD 485 S Perry St, Suite D, Lawrenceville, GA 30045-4923 Ph: (678) 205-0838

Reviews and Comments

Psychologist in Lawrenceville, GA

Dr. Joseph Henry Fallon Jr., PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1805 Herrington Rd, Bldg 2, Lawrenceville, GA 30043 Phone: 770-962-1944 Fax: 770-962-1886
Miss Madia J Coke, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2060 Turtle Creek Way, Lawrenceville, GA 30043 Phone: 470-207-5388
Jennifer Dean, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 University Center Ln, Lawrenceville, GA 30043 Phone: 678-407-5592
Dr. Kelle Chandler Ray, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1805 Herrington Rd, Building 2, Lawrenceville, GA 30043 Phone: 770-962-1944 Fax: 770-962-1886
Dr. Maria Torres-villa, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1859 American Way, Lawrenceville, GA 30043 Phone: 404-317-5314
Dr. Amanda Michelel Woods, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 285 South Perry Street, Lawrenceville, GA 30045 Phone: 770-570-9193
Erik A Fisher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 285 S Perry Street, Lawrenceville, GA 30045 Phone: 770-513-0577 Fax: 770-513-3884

Shirley Boone-sanford, PHD - Medicare Psychologist in Lawrenceville, GA