Thomas La Marr, is a medicare enrolled "Psychologist" provider in Portland, Oregon. His current practice location is
1411 Sw Morrison St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 352-2400.
Thomas La Marr is licensed to practice in Washington (license number PY61238430) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174970826.
Healthcare Provider's Profile
Full Name | Thomas La Marr |
---|
Gender | Male |
---|
Speciality | Psychologist |
---|
Location | 1411 Sw Morrison St, Portland, Oregon |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174970826
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870017619
- Enrollment ID: I20250414001768
Medical Identifiers
Medical identifiers for Thomas La Marr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174970826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | PY61238430 (Washington) | 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. Thomas La Marr allows following entities to bill medicare on his behalf.
Entity Name | Mental Health Specialty Group Pa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250226000632 |
---|
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. Thomas La Marr 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 |
Thomas La Marr, 21540 Nw Franson Way, Apt 205, Hillsboro, OR 97006-6076 Ph: () - | Thomas La Marr, 1411 Sw Morrison St, Portland, OR 97205-1945 Ph: (503) 352-2400 |
Reviews and Comments