Elizabeth Ann Putelis, is a
Behavior Analyst based in Worcester, Massachusetts. Elizabeth Ann Putelis is licensed to practice in Massachusetts (license number 2047) and her current practice location is
330 Sw Cutoff Ste 203, Worcester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 341-2829.
NPI number for Elizabeth Ann Putelis is 1033479068 and her current mailing address is 105 Wallace Ave, Auburn, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033479068.
Healthcare Provider's Profile
| Full Name | Elizabeth Ann Putelis |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 330 Sw Cutoff Ste 203, Worcester, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033479068
- Provider Enumeration Date: 05/24/2012
- Last Update Date: 04/03/2018
Medical Identifiers
Medical identifiers for Elizabeth Ann Putelis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033479068 | NPI | - | NPPES |
| 042611055 | Other | MA | TAX ID |
| M18633 | Other | MA | BCBS |
| 1303287 | Medicaid | MA | |
| 99618201 | Other | MA | NETWORK HEALTH |
| 1004745 | Other | MA | NHP |
| 1303287 | Other | MA | MBHP |
| 0000023532 | Other | MA | BMC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 2047 (Massachusetts) | 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. Elizabeth Ann Putelis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elizabeth Ann Putelis,
105 Wallace Ave,
Auburn, MA 01501-1103
Ph: (508) 981-1930 | Elizabeth Ann Putelis,
330 Sw Cutoff Ste 203,
Worcester, MA 01604-2730
Ph: (508) 341-2829 |
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