Megan St Angelo, is a medicare enrolled "Psychologist" provider in Providence, Rhode Island. Her current practice location is
536 Atwells Ave Ste 1, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 490-4814.
Megan St Angelo is licensed to practice in Rhode Island (license number PS01824) 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 1588119267.
Healthcare Provider's Profile
| Full Name | Megan St Angelo |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 536 Atwells Ave Ste 1, Providence, Rhode Island |
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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: 1588119267
- Provider Enumeration Date: 08/23/2016
- Last Update Date: 09/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052743481
- Enrollment ID: I20191122001814
Medical Identifiers
Medical identifiers for Megan St Angelo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588119267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PS01824 (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. Megan St Angelo allows following entities to bill medicare on her behalf.
| Entity Name | Providence Behavioral Health Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023142700
PECOS PAC ID: 3274798236
Enrollment ID: O20120626000461 |
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| Entity Name | Peace Of Mind Psychology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770206518
PECOS PAC ID: 3779951660
Enrollment ID: O20221128000696 |
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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. Megan St Angelo 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 |
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Megan St Angelo,
536 Atwells Ave Ste 1,
Providence, RI 02909-1075
Ph: (401) 490-4814 | Megan St Angelo,
536 Atwells Ave Ste 1,
Providence, RI 02909-1075
Ph: (401) 490-4814 |
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