Dr Bethany Rallis, PHD, LCP in Newport, RI - Medicare Psychologist Provider

Dr Bethany Rallis, PHD, LCP is a medicare enrolled "Psychologist - Clinical" provider in Newport, Rhode Island. Her current practice location is 19 Friendship Street, Borden-carey Building, Suite 340, Newport, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 845-1910.

Dr Bethany Rallis is licensed to practice in Rhode Island (license number PS01879) 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 1538837950.

Contact Information

	Dr Bethany Rallis, PHD, LCP
	19 Friendship Street, Borden-carey Building, Suite 340, Newport, RI 02840-2272
	(401) 845-1910
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bethany Rallis
Gender	Female
Speciality	Psychologist - Clinical
Location	19 Friendship Street, Newport, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538837950
Provider Enumeration Date: 08/31/2021
Last Update Date: 08/31/2021

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
1538837950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS01879 (Rhode Island)	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. Dr Bethany Rallis allows following entities to bill medicare on her behalf.

Entity Name	The Miriam Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1164716031 PECOS PAC ID: 6901796408 Enrollment ID: O20110928000027

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089

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
Dr Bethany Rallis, PHD, LCP 86 Blueberry Ln, Jamestown, RI 02835-2903 Ph: (401) 954-4283	Dr Bethany Rallis, PHD, LCP 19 Friendship Street, Borden-carey Building, Suite 340, Newport, RI 02840-2272 Ph: (401) 845-1910

Reviews and Comments

Psychologist in Newport, RI

Dr. Susan Rae Dubois, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 43 Smith Rd, Newport, RI 02842 Phone: 401-841-4475
Dr. Lisa Weyandt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16 Ellery Rd, Newport, RI 02840 Phone: 509-859-3426
Christopher J Heath, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Smith Rd, Behavioral Health, Newport, RI 02841 Phone: 401-841-4475
Peter Mullen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5 Andrew St, Newport, RI 02840 Phone: 401-847-3708
Dr. John Patrick Sullivan Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Bradford Ave, Newport, RI 02840 Phone: 401-258-6754
Dr. Jon E Brett, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 37 Powel Avenue, Newport, RI 02840 Phone: 401-230-3760
Dr. Karen Johnston Gieseke, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 42 Spring St, Suite 13, Newport, RI 02840 Phone: 401-842-0009 Fax: 401-842-0059

Dr Bethany Rallis, PHD, LCP - Medicare Psychologist in Newport, RI