Dr Elizabeth Erin Depelteau, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Melbourne, Florida. Her current practice location is
1335 Valentine St, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 586-5444.
Dr Elizabeth Erin Depelteau is licensed to practice in Florida (license number PY7694) 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 1134246176.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth Erin Depelteau |
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| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | 1335 Valentine St, Melbourne, Florida |
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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: 1134246176
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 05/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234299363
- Enrollment ID: I20081119000752
Medical Identifiers
Medical identifiers for Dr Elizabeth Erin Depelteau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134246176 | NPI | - | NPPES |
| 002984900 | Medicaid | FL | |
| 74442 | Other | FL | BCBSFL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | PY7694 (Florida) | 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. Dr Elizabeth Erin Depelteau allows following entities to bill medicare on her behalf.
| Entity Name | Coastal Psychiatric Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689231110
PECOS PAC ID: 3678801644
Enrollment ID: O20190829000196 |
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| Entity Name | Coastal Psychiatric Walk-in Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497531529
PECOS PAC ID: 7315391679
Enrollment ID: O20230920004401 |
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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. Dr Elizabeth Erin Depelteau 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 |
|---|
Dr Elizabeth Erin Depelteau, PSYD
1335 Valentine St,
Melbourne, FL 32901-3127
Ph: (321) 586-5444 | Dr Elizabeth Erin Depelteau, PSYD
1335 Valentine St,
Melbourne, FL 32901-3127
Ph: (321) 586-5444 |
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