Rachael Medina, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in East Berlin, Connecticut. Her current practice location is
1224 Mill St Bldg B, East Berlin, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 406-4894.
Rachael Medina is licensed to practice in Connecticut (license number 3424) 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 1992424477.
Healthcare Provider's Profile
| Full Name | Rachael Medina |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 1224 Mill St Bldg B, East Berlin, Connecticut |
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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: 1992424477
- Provider Enumeration Date: 08/26/2022
- Last Update Date: 11/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456887348
- Enrollment ID: I20241216003688
Medical Identifiers
Medical identifiers for Rachael Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992424477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 3424 (Connecticut) | 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. Rachael Medina allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
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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. Rachael Medina 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 |
Rachael Medina, LMFT 1224 Mill St Bldg B, East Berlin, CT 06023-1159 Ph: (860) 406-4894 | Rachael Medina, LMFT 1224 Mill St Bldg B, East Berlin, CT 06023-1159 Ph: (860) 406-4894 |
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