Mrs Alicia Rae Tavares, LMHC in Providence, RI

Mrs Alicia Rae Tavares, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Providence, Rhode Island. Her current practice location is 1093 Elmwood Ave Apt 2, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 787-1265.

Mrs Alicia Rae Tavares is licensed to practice in Rhode Island (license number MHC00856) 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 1023421534.

Contact Information

	Mrs Alicia Rae Tavares, LMHC
	1093 Elmwood Ave Apt 2, Providence, RI 02907-3669
	(401) 787-1265
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Alicia Rae Tavares
Gender	Female
Speciality	Counselor - Mental Health
Location	1093 Elmwood Ave Apt 2, Providence, 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: 1023421534
Provider Enumeration Date: 06/03/2014
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1951744069
Enrollment ID: I20240206001851

Medical Identifiers

Medical identifiers for Mrs Alicia Rae Tavares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023421534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC00856 (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. Mrs Alicia Rae Tavares allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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. Mrs Alicia Rae Tavares 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
Mrs Alicia Rae Tavares, LMHC 1093 Elmwood Ave Apt 2, Providence, RI 02907-3669 Ph: (401) 787-1265	Mrs Alicia Rae Tavares, LMHC 1093 Elmwood Ave Apt 2, Providence, RI 02907-3669 Ph: (401) 787-1265

Reviews and Comments

Counselor in Providence, RI

Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110

Mrs Alicia Rae Tavares, LMHC - Medicare Counselor in Providence, RI