Kimberly A Landrau, PHD is a medicare enrolled "Psychologist - Clinical" provider in Perry, Maine. Her current practice location is
40 Devereux Road, Perry, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 904-7589.
Kimberly A Landrau is licensed to practice in Maine (license number PS2443) 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 1720542202.
Healthcare Provider's Profile
| Full Name | Kimberly A Landrau |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 40 Devereux Road, Perry, Maine |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1720542202
- Provider Enumeration Date: 01/29/2019
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305203936
- Enrollment ID: I20230613001142
Medical Identifiers
Medical identifiers for Kimberly A Landrau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720542202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS2443 (Maine) | 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. Kimberly A Landrau allows following entities to bill medicare on her behalf.
| Entity Name | The Counseling Center Of Nashua Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1144275389
PECOS PAC ID: 3274523758
Enrollment ID: O20201209003064 |
|---|
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. Kimberly A Landrau 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 |
|---|
Kimberly A Landrau, PHD
40 Devereux Road,
Perry, ME 04667
Ph: (207) 904-7589 | Kimberly A Landrau, PHD
40 Devereux Road,
Perry, ME 04667
Ph: (207) 904-7589 |
Reviews and Comments