Ms Lawanda Whitaker-ross, LICSW is a medicare enrolled "Counselor - Mental Health" provider in West Boylston, Massachusetts. Her current practice location is
45 Sterling St Ste 21, West Boylston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(774) 369-0633.
Ms Lawanda Whitaker-ross is licensed to practice in Massachusetts (license number 125633) 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 1093165771.
Healthcare Provider's Profile
Full Name | Ms Lawanda Whitaker-ross |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 45 Sterling St Ste 21, West Boylston, Massachusetts |
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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: 1093165771
- Provider Enumeration Date: 06/14/2016
- Last Update Date: 03/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527405083
- Enrollment ID: I20240320002392
Medical Identifiers
Medical identifiers for Ms Lawanda Whitaker-ross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093165771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LICSW125633 (Massachusetts) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 125633 (Massachusetts) | 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. Ms Lawanda Whitaker-ross allows following entities to bill medicare on her behalf.
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
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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. Ms Lawanda Whitaker-ross 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 |
Ms Lawanda Whitaker-ross, LICSW 45 Sterling St Ste 21, West Boylston, MA 01583-1268 Ph: () - | Ms Lawanda Whitaker-ross, LICSW 45 Sterling St Ste 21, West Boylston, MA 01583-1268 Ph: (774) 369-0633 |
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