Dr Bethany Rallis, PHD, LCP is a medicare enrolled "Psychologist - Clinical" provider in South Kingstown, Rhode Island. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Child And Family Psychiatry, Inc. and her current practice location is
65 Village Square Dr Ste 302, South Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 785-0040.
Dr Bethany Rallis is licensed to practice in Rhode Island (license number PS01879) 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 1538837950.
Healthcare Provider's Profile
| Full Name | Dr Bethany Rallis |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 65 Village Square Dr Ste 302, South Kingstown, Rhode Island |
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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. |
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Medical Education and Training:
- Dr Bethany Rallis graduated from medical school in 2017
NPI Data:
- NPI Number: 1538837950
- Provider Enumeration Date: 08/31/2021
- Last Update Date: 08/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395137855
- Enrollment ID: I20220113002428
Medical Identifiers
Medical identifiers for Dr Bethany Rallis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538837950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PS01879 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Child And Family Psychiatry, Inc. | 5294173464 | 85 |
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. Dr Bethany Rallis allows following entities to bill medicare on her behalf.
| Entity Name | Lifespan Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548506793
PECOS PAC ID: 2567455082
Enrollment ID: O20130528000089 |
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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. Dr Bethany Rallis 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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Dr Bethany Rallis, PHD, LCP
86 Blueberry Ln,
Jamestown, RI 02835-2903
Ph: (401) 954-4283 | Dr Bethany Rallis, PHD, LCP
65 Village Square Dr Ste 302,
South Kingstown, RI 02879-2569
Ph: (401) 785-0040 |
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