Dr Lauren Grace Hansen Butler, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Myers, Florida. Her current practice location is
8570 Granite Ct Ste 101, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 483-3769.
Dr Lauren Grace Hansen Butler is licensed to practice in Florida (license number PY11758) 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 1609261049.
Healthcare Provider's Profile
| Full Name | Dr Lauren Grace Hansen Butler |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 8570 Granite Ct Ste 101, Fort Myers, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609261049
- Provider Enumeration Date: 04/02/2015
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729321054
- Enrollment ID: I20190529002962
Medical Identifiers
Medical identifiers for Dr Lauren Grace Hansen Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609261049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20043121A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY11758 (Florida) | 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 Lauren Grace Hansen Butler allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427362201
PECOS PAC ID: 4587834874
Enrollment ID: O20110824000118 |
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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. Dr Lauren Grace Hansen Butler 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 |
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Dr Lauren Grace Hansen Butler, PSYD
1214 Shenandoah Ct,
Marco Island, FL 34145-5024
Ph: (630) 664-5516 | Dr Lauren Grace Hansen Butler, PSYD
8570 Granite Ct Ste 101,
Fort Myers, FL 33908-4240
Ph: (352) 483-3769 |
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