Miss Lara Patrice Gagne, in Coeur D Alene, ID - Medicare Marriage & Family Therapist Provider

Miss Lara Patrice Gagne, is a medicare enrolled "Marriage & Family Therapist" provider in Coeur D Alene, Idaho. Her current practice location is 1044 Northwest Blvd Ste C, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 930-1740.

Miss Lara Patrice Gagne is licensed to practice in California (license number REG. INTERN 48617) 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 1124170550.

Contact Information

	Miss Lara Patrice Gagne,
	1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114
	(208) 930-1740
	(208) 930-1695

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Lara Patrice Gagne
Gender	Female
Speciality	Marriage & Family Therapist
Location	1044 Northwest Blvd Ste C, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124170550
Provider Enumeration Date: 01/17/2007
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5991158412
Enrollment ID: I20240131001616

Medical Identifiers

Medical identifiers for Miss Lara Patrice Gagne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124170550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	REG. INTERN 48617 (California)	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. Miss Lara Patrice Gagne allows following entities to bill medicare on her behalf.

Entity Name	Ambitions Of Idaho Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003145533 PECOS PAC ID: 6305121328 Enrollment ID: O20170314000619

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. Miss Lara Patrice Gagne 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
Miss Lara Patrice Gagne, Po Box 544, Clayton, CA 94517-0544 Ph: (925) 603-0186	Miss Lara Patrice Gagne, 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114 Ph: (208) 930-1740

Reviews and Comments

Marriage & Family Therapist in Coeur D Alene, ID

Jena Farid, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 N Lakewood Dr Ste 222, Coeur D Alene, ID 83814 Phone: 208-274-3320
Ms. Stacy Annette Brittain, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814 Phone: 650-793-4966
Elizabeth Barraza Lee, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 206 W Ironwood Dr # 1100, Coeur D Alene, ID 83814 Phone: 562-450-0505
Thomas R Vanfossen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5431 N Government Way, Suite B, Coeur D Alene, ID 83815 Phone: 208-667-7603 Fax: 208-667-7609
Devona Marie Mahal, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 101 W Ironwood Dr Ste 216, Coeur D Alene, ID 83814 Phone: 208-691-1365
Mr. Scott Harper Oden, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 212 S 11th St, Coeur D Alene, ID 83814 Phone: 208-640-0053

Miss Lara Patrice Gagne, - Medicare Couples Therapy in Coeur D Alene, ID