Emily Derby, LMHC, LPC in Johnston, RI - Medicare Counselor Provider

Emily Derby, LMHC, LPC is a medicare enrolled "Counselor - Mental Health" provider in Johnston, Rhode Island. Her current practice location is 1443 Hartford Ave, Johnston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 273-8100.

Emily Derby is licensed to practice in Rhode Island (license number MHC00693) 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 1659766376.

Contact Information

	Emily Derby, LMHC, LPC
	1443 Hartford Ave, Johnston, RI 02919-3224
	(401) 273-8100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Derby
Gender	Female
Speciality	Counselor - Mental Health
Location	1443 Hartford Ave, Johnston, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659766376
Provider Enumeration Date: 03/31/2015
Last Update Date: 05/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4688025059
Enrollment ID: I20240110001861

Medical Identifiers

Medical identifiers for Emily Derby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659766376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0016171 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	MHC00693 (Rhode Island)	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. Emily Derby allows following entities to bill medicare on her behalf.

Entity Name	Gateway Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066

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. Emily Derby 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
Emily Derby, LMHC, LPC 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: () -	Emily Derby, LMHC, LPC 1443 Hartford Ave, Johnston, RI 02919-3224 Ph: (401) 273-8100

Reviews and Comments

Counselor in Johnston, RI

Michele Wilson, BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 Atwood Ave, Johnston, RI 02919 Phone: 401-724-8400 Fax: 401-722-5280
Laurie Thornton, MA, CAGS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-273-8100 Fax: 401-861-8696
Alexia Sanford, MA, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1524 Atwood Ave Ste 115, Johnston, RI 02919 Phone: 401-773-3700
Mrs. Rana M Dequattro, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Mulberry Cir, Johnston, RI 02919 Phone: 401-465-5144 Fax: 401-349-0494
Courtney Hills, Counselor Medicare: Medicare Enrolled Practice Location: 8 Cady St, Johnston, RI 02919 Phone: 603-285-3163
Britni J Butti, LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 985 Plainfield St, Johnston, RI 02919 Phone: 401-946-0650 Fax: 401-946-2407
Mckayla Arbige, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-553-1000 Fax: 401-553-1043

Emily Derby, LMHC, LPC - Medicare Counselor in Johnston, RI