Dr Laura P Etre, PSYD/CLINICAL PSYCHO is a medicare enrolled "Psychologist - Clinical" provider in Providence, Rhode Island. Her current practice location is
345 Blackstone Blvd, 1st Floor Weld Building, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(800) 370-3651.
Dr Laura P Etre is licensed to practice in Rhode Island (license number PS01112) 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 1386846392.
Healthcare Provider's Profile
| Full Name | Dr Laura P Etre |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 345 Blackstone Blvd, Providence, 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: 1386846392
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 05/08/2009
Medicare PECOS Information:
- PECOS PAC ID: 4587712062
- Enrollment ID: I20161104001561
Medical Identifiers
Medical identifiers for Dr Laura P Etre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386846392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS01112 (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. Dr Laura P Etre allows following entities to bill medicare on her behalf.
| Entity Name | Medoptions Of New Hampshire Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033567748
PECOS PAC ID: 0345534780
Enrollment ID: O20160809000398 |
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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 Laura P Etre 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 Laura P Etre, PSYD/CLINICAL PSYCHO
20 Research Parkway, Ste C,
Old Saybrock, CT 06475-4214
Ph: (800) 370-3651 | Dr Laura P Etre, PSYD/CLINICAL PSYCHO
345 Blackstone Blvd, 1st Floor Weld Building,
Providence, RI 02906
Ph: (800) 370-3651 |
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