Deborah Valletta, LICSW, LCDP is a medicare enrolled "Social Worker - Clinical" provider in Warwick, Rhode Island. Her current practice location is
1045 Warwick Ave, Ste 101, Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 465-2670.
Deborah Valletta is licensed to practice in Rhode Island (license number ISW01009) 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 1174650576.
Healthcare Provider's Profile
| Full Name | Deborah Valletta |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1045 Warwick Ave, Warwick, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174650576
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 01/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 7214962091
- Enrollment ID: I20050929001067
Medical Identifiers
Medical identifiers for Deborah Valletta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174650576 | NPI | - | NPPES |
| 212611000 | Other | | MAGELLAN |
| 158131 | Other | | VALUE OPTIONS |
| DV26989 | Medicaid | RI | |
| 30309-1 | Other | | BLUE CROSS |
| 406298 | Other | | BLUE CHIP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDP00143 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW01009 (Rhode Island) | 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. Deborah Valletta allows following entities to bill medicare on her behalf.
| Entity Name | Prospect Chartercare Sjhsri Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588089759
PECOS PAC ID: 7315179314
Enrollment ID: O20140722001928 |
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| Entity Name | Prospect Chartercare Rwmc, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285059287
PECOS PAC ID: 0547492696
Enrollment ID: O20140728001672 |
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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. Deborah Valletta 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 |
|---|
Deborah Valletta, LICSW, LCDP
18 Chatham Rd,
Cranston, RI 02920-6044
Ph: (401) 942-5658 | Deborah Valletta, LICSW, LCDP
1045 Warwick Ave, Ste 101,
Warwick, RI 02888-3657
Ph: (401) 465-2670 |
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