Mary-katherine Louetta Peralez, LPC in Groton, CT

Mary-katherine Louetta Peralez, LPC is a medicare enrolled "Counselor - Professional" provider in Groton, Connecticut. Her current practice location is 915 Poquonnock Rd, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 471-7896.

Mary-katherine Louetta Peralez is licensed to practice in Connecticut (license number 5530) 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 1083347363.

Contact Information

	Mary-katherine Louetta Peralez, LPC
	915 Poquonnock Rd, Groton, CT 06340-4257
	(860) 471-7896
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary-katherine Louetta Peralez
Gender	Female
Speciality	Counselor - Professional
Location	915 Poquonnock Rd, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083347363
Provider Enumeration Date: 07/05/2022
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2860836749
Enrollment ID: I20240219003427

Medical Identifiers

Medical identifiers for Mary-katherine Louetta Peralez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083347363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5530 (Connecticut)	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. Mary-katherine Louetta Peralez allows following entities to bill medicare on her behalf.

Entity Name	Mc Diagnostic Of Connecticut, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386821932 PECOS PAC ID: 0941382113 Enrollment ID: O20080126000057

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. Mary-katherine Louetta Peralez 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
Mary-katherine Louetta Peralez, LPC 915 Poquonnock Rd, Groton, CT 06340-4257 Ph: () -	Mary-katherine Louetta Peralez, LPC 915 Poquonnock Rd, Groton, CT 06340-4257 Ph: (860) 471-7896

Reviews and Comments

Counselor in Groton, CT

Dr. Lisa Marie Tonnessen, PHD Counselor Medicare: Medicare Enrolled Practice Location: 616 Goldstar Hgwy, Shoreline Counseling, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Michael John Formica, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Ms. Susannah Jane Forte Stahr, MS, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 591 Poquonnock Rd, Groton, CT 06340 Phone: 860-449-8217 Fax: 860-449-8323
Dr. F. Henry Doran, D.MIN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Ms. Jessica M Gagnon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 428 Long Hill Rd Ste 201, Groton, CT 06340 Phone: 860-705-2840
Rachel Marie Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611a Long Hill Rd, Groton, CT 06340 Phone: 860-405-8097 Fax: 860-572-4986

Mary-katherine Louetta Peralez, LPC - Medicare Counselor in Groton, CT