Dr Elizabeth M Trahan, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Eglin Afb, Florida. Her current practice location is
307 Boatner Rd, Eglin Afb, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 883-8373.
Dr Elizabeth M Trahan is licensed to practice in Wyoming (license number 594) 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 1982999736.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth M Trahan |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 307 Boatner Rd, Eglin Afb, 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: 1982999736
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759765621
- Enrollment ID: I20220826002697
Medical Identifiers
Medical identifiers for Dr Elizabeth M Trahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982999736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 169997 (Alaska) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 594 (Wyoming) | 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. Dr Elizabeth M Trahan 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 Elizabeth M Trahan, PSYD
14600 Nw Cornell Rd,
Portland, OR 97229-5442
Ph: (503) 645-3581 | Dr Elizabeth M Trahan, PSYD
307 Boatner Rd,
Eglin Afb, FL 32542-1302
Ph: (850) 883-8373 |
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