Andiea Hedayat-harris, PHD in Fort Lee, NJ - Medicare Psychologist Provider

Andiea Hedayat-harris, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Lee, New Jersey. Her current practice location is 2215 N Central Rd, Apt. 4g, Fort Lee, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 585-8720.

Andiea Hedayat-harris is licensed to practice in New York (license number 012882-1) 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 1104042431.

Contact Information

	Andiea Hedayat-harris, PHD
	2215 N Central Rd, Apt. 4g, Fort Lee, NJ 07024-7551
	(201) 585-8720
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andiea Hedayat-harris
Gender	Female
Speciality	Psychologist - Clinical
Location	2215 N Central Rd, Fort Lee, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104042431
Provider Enumeration Date: 04/17/2007
Last Update Date: 07/18/2017

Medicare PECOS Information:

PECOS PAC ID: 2567354582
Enrollment ID: I20040325001259

Medical Identifiers

Medical identifiers for Andiea Hedayat-harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104042431	NPI	-	NPPES
02423747	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	012882-1 (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. Andiea Hedayat-harris allows following entities to bill medicare on her behalf.

Entity Name	Che Senior Psychological Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429

Entity Name	Knapp Street Psychiatry, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760

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. Andiea Hedayat-harris 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
Andiea Hedayat-harris, PHD 2215 North Central Road Apt 4g, Fort Lee, New Jersey, NJ 07024-0702 Ph: (201) 585-8720	Andiea Hedayat-harris, PHD 2215 N Central Rd, Apt. 4g, Fort Lee, NJ 07024-7551 Ph: (201) 585-8720

Reviews and Comments

Psychologist in Fort Lee, NJ

Dr. Kimberly Lopez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1560 Center Ave Apt 2, Fort Lee, NJ 07024 Phone: 787-241-9033
Reina Sandouk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Lemoine Ave, Fort Lee, NJ 07024 Phone: 201-585-4652
Dr. Barbara Fran Haber, PHD MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21 Warwick Avenue, Fort Lee, NJ 07024 Phone: 201-224-9568 Fax: 201-224-5432
Irina Volynsky, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 West St, Suite 23, Fort Lee, NJ 07024 Phone: 917-657-8925
Samuel Eli Menahem, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2083 Center Ave, Suite G, Fort Lee, NJ 07024 Phone: 201-944-1164 Fax: 201-944-1623
Dr. Emile Tobias Berk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 West St # 323, Fort Lee, NJ 07024 Phone: 347-879-0202

Andiea Hedayat-harris, PHD - Medicare Psychologist in Fort Lee, NJ