Dr Priscilla D Hernandez Hacker, PHD - Psychologist in Moscow, ID

Dr Priscilla D Hernandez Hacker, PHD is a Psychologist - Clinical based in Moscow, Idaho. Dr Priscilla D Hernandez Hacker is licensed to practice in Idaho (license number PSY202196) and her current practice location is 2301 W A St, Suite C, Moscow, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 883-1144.

NPI number for Dr Priscilla D Hernandez Hacker is 1063469203 and her current mailing address is 2301 W A St, Suite C, Moscow, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063469203.

Contact Information

Dr Priscilla D Hernandez Hacker, PHD
2301 W A St, Suite C,
Moscow, ID 83843-4038
(208) 883-1144
(208) 883-8062



Healthcare Provider's Profile

Full NameDr Priscilla D Hernandez Hacker
GenderFemale
SpecialityPsychologist - Clinical
Location2301 W A St, Moscow, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063469203
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Priscilla D Hernandez Hacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063469203NPI-NPPES
000010149290OtherIDREGENCE BLUE SHIELD PIN
380-319OtherWADSHS PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY1696 (Washington)Secondary
103TC0700XPsychologist - Clinical PSY202196 (Idaho)Primary

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. Dr Priscilla D Hernandez Hacker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Priscilla D Hernandez Hacker, PHD
2301 W A St, Suite C,
Moscow, ID 83843-4038

Ph: (208) 883-1144
Dr Priscilla D Hernandez Hacker, PHD
2301 W A St, Suite C,
Moscow, ID 83843-4038

Ph: (208) 883-1144

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› Verified 4 days ago


Psychologist in Moscow, ID

Dr. Nancy Sasse Sasser, ED.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Showalter Rd, Moscow, ID 83843
Phone: 208-301-0918    Fax: 208-882-1490
Dr. Maria Amy Gartstein, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2301 West A St, Suite C, Moscow, ID 83843
Phone: 208-883-1144    
Dr. Alan J. Whitlock, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 814 S Washington St, Moscow, ID 83843
Phone: 208-883-4026    
Dr. Mark Francis Yama, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: Psychology And Comm Studies, University Of Idaho, Moscow, ID 83844
Phone: 208-885-7376    Fax: 208-885-7710
Dr. Timothy Scott Rehnberg, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2301 W A St, Suite C, Moscow, ID 83843
Phone: 208-883-1144    Fax: 208-883-8062
Dr. Brian William Mcneill, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 619 S Washington, Suite 301 Brian Mcneill Phd, Moscow, ID 83843
Phone: 509-336-9045    Fax: 708-892-0681

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