Ms Lakshmi Rebecca Nolletti, LCSW, LISAC, SAP is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. Her current practice location is
4250 E Camelback Rd, Suite K300, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 343-8232.
Ms Lakshmi Rebecca Nolletti is licensed to practice in Arizona (license number LCSW-11126) 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 1780752949.
Healthcare Provider's Profile
| Full Name | Ms Lakshmi Rebecca Nolletti |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4250 E Camelback Rd, Phoenix, Arizona |
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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: 1780752949
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 11/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 2668509308
- Enrollment ID: I20100428000793
Medical Identifiers
Medical identifiers for Ms Lakshmi Rebecca Nolletti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780752949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-10865 (Arizona) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ICADC 18225 (Arizona) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ABCAC 1870 (Arizona) | Secondary |
| 101YP2500X | Counselor - Professional | SAP (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-11126 (Arizona) | 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 Lakshmi Rebecca Nolletti allows following entities to bill medicare on her behalf.
| Entity Name | Arizona Behavioral Health Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396987459
PECOS PAC ID: 8123155850
Enrollment ID: O20100428000635 |
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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 Lakshmi Rebecca Nolletti 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 |
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Ms Lakshmi Rebecca Nolletti, LCSW, LISAC, SAP
Po Box 67133,
Phoenix, AZ 85082-7133
Ph: (602) 550-6240 | Ms Lakshmi Rebecca Nolletti, LCSW, LISAC, SAP
4250 E Camelback Rd, Suite K300,
Phoenix, AZ 85018-8301
Ph: (602) 343-8232 |
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