Loren Connolly, PHD in Baltimore, MD - Medicare Psychologist Provider

Loren Connolly, PHD is a medicare enrolled "Psychologist" provider in Baltimore, Maryland. Her current practice location is 5601 Loch Raven Blvd, Rehab Department, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 444-4034.

Loren Connolly is licensed to practice in Delaware (license number B10000554) 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 1033189550.

Contact Information

	Loren Connolly, PHD
	5601 Loch Raven Blvd, Rehab Department, Baltimore, MD 21239-2945
	(443) 444-4034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Loren Connolly
Gender	Female
Speciality	Psychologist
Location	5601 Loch Raven Blvd, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033189550
Provider Enumeration Date: 01/26/2006
Last Update Date: 01/26/2017

Medicare PECOS Information:

PECOS PAC ID: 3173667201
Enrollment ID: I20100212000477

Medical Identifiers

Medical identifiers for Loren Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033189550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	B10000554 (Delaware)	Primary
103TR0400X	Psychologist - Rehabilitation	05866 (Maryland)	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. Loren Connolly allows following entities to bill medicare on her behalf.

Entity Name	Vista Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659452027 PECOS PAC ID: 5597743344 Enrollment ID: O20070222000262

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. Loren Connolly 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
Loren Connolly, PHD 501 Loch Raven Blvd., Baltimore, MD 21239 Ph: (443) 444-4034	Loren Connolly, PHD 5601 Loch Raven Blvd, Rehab Department, Baltimore, MD 21239-2945 Ph: (443) 444-4034

Reviews and Comments

Psychologist in Baltimore, MD

Dr. Lois Schuster, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Red Cedar Ct, Baltimore, MD 21208 Phone: 410-486-1190
Dr. Stephanie A Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9400 Fax: 443-923-9405
Tiffany Wen-ting Lin, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 707 N Broadway, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-1895
Eshauna Padilla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11 Terron Ct, Baltimore, MD 21234 Phone: 443-221-5700
Rachel Aaron, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Meyer 163, Baltimore, MD 21287 Phone: 410-614-4030 Fax: 410-614-4033
Dr. Terri Julian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31 Hopkins Plz, G045, Baltimore, MD 21201 Phone: 410-637-4749
Dr. David Gary Epstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6525 N Charles St, Gibson Bldg., Ste. 142, Baltimore, MD 21204 Phone: 410-828-4846 Fax: 410-938-4444

Loren Connolly, PHD - Medicare Psychologist in Baltimore, MD