Thomas La Marr, is a medicare enrolled "Psychologist" provider in Portland, Oregon. He graduated from healthcare school in 2020 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1174970826.
Healthcare Provider's Profile
| Full Name | Thomas La Marr |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 5 Years |
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| Location | 1411 Sw Morrison St, Portland, Oregon |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas La Marr graduated from medical school in 2020
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 |
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| 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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20250226000632 |
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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. 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 |
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