Dr Eartha M Hackett, PHD is a medicare enrolled "Psychologist - Counseling" provider in Rosedale, New York. Her current practice location is
13037 235th St, Rosedale, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 209-3753.
Dr Eartha M Hackett is licensed to practice in New York (license number 024082-01) 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 1265014518.
Healthcare Provider's Profile
| Full Name | Dr Eartha M Hackett |
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| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | 13037 235th St, Rosedale, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265014518
- Provider Enumeration Date: 04/26/2021
- Last Update Date: 04/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921531070
- Enrollment ID: I20241028002461
Medical Identifiers
Medical identifiers for Dr Eartha M Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265014518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC1900X | Psychologist - Counseling | 024082-01 (New York) | Primary |
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 Eartha M Hackett 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 Eartha M Hackett, PHD 13037 235th St, Rosedale, NY 11422-1215 Ph: (646) 209-3753 | Dr Eartha M Hackett, PHD 13037 235th St, Rosedale, NY 11422-1215 Ph: (646) 209-3753 |
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