Ann-marie Raphail, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in West Haven, Connecticut. Her current practice location is
950 Campbell Ave, West Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 932-5711.
Ann-marie Raphail is licensed to practice in * (Not Available) (license number ) 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 1023752235.
Healthcare Provider's Profile
| Full Name | Ann-marie Raphail |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 950 Campbell Ave, West Haven, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023752235
- Provider Enumeration Date: 04/24/2022
- Last Update Date: 04/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193188787
- Enrollment ID: I20230830000777
Medical Identifiers
Medical identifiers for Ann-marie Raphail such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023752235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | 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. Ann-marie Raphail allows following entities to bill medicare on her behalf.
| Entity Name | Rutgers Health-rwj Scleroderma Program |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679655781
PECOS PAC ID: 5193764991
Enrollment ID: O20050502000326 |
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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. Ann-marie Raphail 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 |
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Ann-marie Raphail, PHD
185 Canal St Unit 3004,
Shelton, CT 06484-8135
Ph: (551) 265-0985 | Ann-marie Raphail, PHD
950 Campbell Ave,
West Haven, CT 06516-2770
Ph: (203) 932-5711 |
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