Ms Lesli Dahl, PSYD is a medicare enrolled "Psychologist" provider in Wexford, Pennsylvania. Her current practice location is
11279 Perry Hwy, Suite 450, Wexford, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 933-1100.
Ms Lesli Dahl is licensed to practice in Pennsylvania (license number PS017710) 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 1528036464.
Healthcare Provider's Profile
| Full Name | Ms Lesli Dahl |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 11279 Perry Hwy, Wexford, Pennsylvania |
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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: 1528036464
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 12/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022421304
- Enrollment ID: I20210105002139
Medical Identifiers
Medical identifiers for Ms Lesli Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528036464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PS017710 (Pennsylvania) | 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 Lesli Dahl allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Lesli Dahl 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 Lesli Dahl, PSYD
555 Castro St,
Mountain View, CA 94041-2009
Ph: (415) 480-4185 | Ms Lesli Dahl, PSYD
11279 Perry Hwy, Suite 450,
Wexford, PA 15090-9381
Ph: (724) 933-1100 |
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