Lisa N Backus, PHD is a medicare enrolled "Psychologist - Clinical" provider in Branford, Connecticut. Her current practice location is
21 Business Park Dr, Branford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 488-0471.
Lisa N Backus is licensed to practice in Colorado (license number PSY 4079) 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 1558679555.
Healthcare Provider's Profile
Full Name | Lisa N Backus |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 21 Business Park Dr, Branford, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558679555
- Provider Enumeration Date: 09/24/2010
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092019000
- Enrollment ID: I20170531000645
Medical Identifiers
Medical identifiers for Lisa N Backus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558679555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY 4079 (Colorado) | 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. Lisa N Backus allows following entities to bill medicare on her behalf.
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
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Entity Name | Yale New Haven Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336139500 PECOS PAC ID: 8325935018 Enrollment ID: O20040227000825 |
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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. Lisa N Backus 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 |
Lisa N Backus, PHD 251 Westbrook Rd, Essex, CT 06426-1528 Ph: (860) 767-1277 | Lisa N Backus, PHD 21 Business Park Dr, Branford, CT 06405-2935 Ph: (203) 488-0471 |
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