Robert J. Sheppard Phd Pllc - Medicare Mental Health Clinic in Portage, MI

Robert J. Sheppard Phd Pllc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Portage, Michigan. The current practice location for Robert J. Sheppard Phd Pllc is 8339 Brookwood Dr, Portage, Michigan. For appointments, you can reach them via phone at (269) 303-6296. The mailing address for Robert J. Sheppard Phd Pllc is 8339 Brookwood Dr, Portage, Michigan and phone number is (269) 303-6296.

Robert J. Sheppard Phd Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083213631. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (269) 303-6296.

Contact Information

Robert J. Sheppard Phd Pllc
8339 Brookwood Dr
Portage
MI 49024-5207
(269) 303-6296
Not Available

Mental Health Clinic Profile

Full NameRobert J. Sheppard Phd Pllc
SpecialityPsychologist
Location8339 Brookwood Dr, Portage, Michigan
Authorized Official Name and PositionRobert J. Sheppard (PSYCHOLOGIST)
Authorized Official Contact2693036296
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Robert J. Sheppard Phd Pllc
8339 Brookwood Dr
Portage
MI 49024-5207

Ph: (269) 303-6296
Robert J. Sheppard Phd Pllc
8339 Brookwood Dr
Portage
MI 49024-5207

Ph: (269) 303-6296

NPI Details:

NPI Number1083213631
Provider Enumeration Date10/23/2020
Last Update Date10/24/2020
Certification Date10/24/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4789091356
Medicare Enrollment IDO20210326000336

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Medical Identifiers

Medical identifiers for Robert J. Sheppard Phd Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083213631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Robert J. Sheppard Phd Pllc acts as a billing entity for following providers:
Provider NameRobert J Sheppard
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1457333692
PECOS PAC ID: 8729068580
Enrollment ID: I20040722000329

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