Dr Lisa Faille, PHD in Riverside, RI - Medicare Psychologist Provider

Dr Lisa Faille, PHD is a medicare enrolled "Psychologist - Clinical" provider in Riverside, Rhode Island. Her current practice location is 2 Village Grn N Apt C, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 481-1914.

Dr Lisa Faille is licensed to practice in Rhode Island (license number PS 01036) 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 1073796124.

Contact Information

	Dr Lisa Faille, PHD
	2 Village Grn N Apt C, Riverside, RI 02915-3944
	(401) 481-1914
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Faille
Gender	Female
Speciality	Psychologist - Clinical
Location	2 Village Grn N Apt C, Riverside, 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: 1073796124
Provider Enumeration Date: 12/12/2007
Last Update Date: 12/12/2007

Medicare PECOS Information:

PECOS PAC ID: 0143595546
Enrollment ID: I20190205001055

Medical Identifiers

Medical identifiers for Dr Lisa Faille such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073796124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS 01036 (Rhode Island)	Primary
103TF0200X	Psychologist - Forensic	PS 01036 (Rhode Island)	Secondary

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 Lisa Faille allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care I Of Rhode Island Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912666454 PECOS PAC ID: 1951793546 Enrollment ID: O20220111000885

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 Lisa Faille 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 Lisa Faille, PHD 2 Village Grn N Apt C, Riverside, RI 02915-3944 Ph: (401) 481-1914	Dr Lisa Faille, PHD 2 Village Grn N Apt C, Riverside, RI 02915-3944 Ph: (401) 481-1914

Reviews and Comments

Psychologist in Riverside, RI

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Dr Lisa Faille, PHD - Medicare Psychologist in Riverside, RI