Ms Kenna Lee Laporte, PHD is a medicare enrolled "Psychologist" provider in Syracuse, New York. Her current practice location is
505 Irving Avenue, Suite 100, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 464-2320.
Ms Kenna Lee Laporte is licensed to practice in New York (license number 025323) 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 1134548308.
Healthcare Provider's Profile
| Full Name | Ms Kenna Lee Laporte |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 505 Irving Avenue, 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. |
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NPI Data:
- NPI Number: 1134548308
- Provider Enumeration Date: 04/15/2014
- Last Update Date: 04/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850766122
- Enrollment ID: I20230419001084
Medical Identifiers
Medical identifiers for Ms Kenna Lee Laporte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134548308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 003750 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 025323 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 025323 (New York) | Secondary |
| 103T00000X | Psychologist | 025323 (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. Ms Kenna Lee Laporte allows following entities to bill medicare on her behalf.
| Entity Name | Suny Health Science Center At Syracuse |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184974529
PECOS PAC ID: 7214833086
Enrollment ID: O20031211000420 |
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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. Ms Kenna Lee Laporte 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 |
|---|
Ms Kenna Lee Laporte, PHD
251 Salina Meadows Parkway, Suite 100,
Syracuse, NY 13212
Ph: (315) 464-2000 | Ms Kenna Lee Laporte, PHD
505 Irving Avenue, Suite 100,
Syracuse, NY 13210
Ph: (315) 464-2320 |
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