Christine Coolidge, PHD is a medicare enrolled "Psychologist" in Hampton Bays, New York. She went to University Of Michigan Medical School and graduated in 1972 and has 54 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
186 W Montauk Hwy, D1, Hampton Bays, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 728-2000.
Christine Coolidge is licensed to practice in New York (license number 0148401) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255525549.
Provider's Profile
| Full Name | Christine Coolidge |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 54 Years |
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| Location | 186 W Montauk Hwy, Hampton Bays, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Christine Coolidge attended and graduated from University Of Michigan Medical School in 1972
NPI Data:
- NPI Number: 1255525549
- Provider Enumeration Date: 08/30/2007
- Last Update Date: 08/30/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810189859
- Enrollment ID: I20150429001000
Medical Identifiers
Medical identifiers for Christine Coolidge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255525549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364S00000X | Clinical Nurse Specialist | 2428621 (New York) | Secondary |
| 103T00000X | Psychologist | 0148401 (New York) | 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. Christine Coolidge allows following entities to bill medicare on her behalf.
| Entity Name | Christine Coolidge RN CS PhD PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932272309 PECOS PAC ID: 8820311970 Enrollment ID: O20141223000400 |
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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. Christine Coolidge 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 |
Christine Coolidge, PHD 18 Duckwood Lane, Hampton Bays, NY 11946 Ph: (631) 728-2000 | Christine Coolidge, PHD 186 W Montauk Hwy, D1, Hampton Bays, NY 11946 Ph: (631) 728-2000 |
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