Anne Marcella Reagan, PSYD is a medicare enrolled "Psychologist" provider in Syracuse, New York. Her current practice location is
750 East Adams St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 464-5450.
Anne Marcella Reagan is licensed to practice in New York (license number 021484) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104262815.
Healthcare Provider's Profile
Full Name | Anne Marcella Reagan |
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Gender | Female |
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Speciality | Psychologist |
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Location | 750 East Adams St, Syracuse, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104262815
- Provider Enumeration Date: 05/21/2013
- Last Update Date: 01/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810293859
- Enrollment ID: I20160317000021
Medical Identifiers
Medical identifiers for Anne Marcella Reagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104262815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 021484 (New York) | 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. Anne Marcella Reagan allows following entities to bill medicare on her behalf.
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
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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. Anne Marcella Reagan 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 |
Anne Marcella Reagan, PSYD 251 Salina Meadows Pkwy, Ste 100, Syracuse, NY 13212-4516 Ph: (315) 464-2000 | Anne Marcella Reagan, PSYD 750 East Adams St, Syracuse, NY 13210 Ph: (315) 464-5450 |
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