Perla Bastien-larivaux, LMFT-LPC is a medicare enrolled "Marriage & Family Therapist" provider in Lodi, New Jersey. Her current practice location is
56 Church St Rear Rear, Lodi, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(862) 591-0211.
Perla Bastien-larivaux is licensed to practice in New Jersey (license number 37PC00863400) 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 1659007045.
Healthcare Provider's Profile
Full Name | Perla Bastien-larivaux |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 56 Church St Rear Rear, Lodi, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659007045
- Provider Enumeration Date: 07/27/2022
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254868771
- Enrollment ID: I20241223002083
Medical Identifiers
Medical identifiers for Perla Bastien-larivaux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659007045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 37PC00863400 (New Jersey) | 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. Perla Bastien-larivaux allows following entities to bill medicare on her behalf.
Entity Name | Mind Matters Coaching, Counseling, & Psychological Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295187425 PECOS PAC ID: 0648554303 Enrollment ID: O20170413001952 |
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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. Perla Bastien-larivaux 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 |
Perla Bastien-larivaux, LMFT-LPC 56 Church St Rear Rear, Lodi, NJ 07644-2407 Ph: (862) 591-0211 | Perla Bastien-larivaux, LMFT-LPC 56 Church St Rear Rear, Lodi, NJ 07644-2407 Ph: (862) 591-0211 |
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