Mrs Rachel Carlson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in West Hartford, Connecticut. Her current practice location is
17 S Highland St, West Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 258-4171.
Mrs Rachel Carlson is licensed to practice in Connecticut (license number 003990) 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 1033600226.
Healthcare Provider's Profile
| Full Name | Mrs Rachel Carlson |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 17 S Highland St, West Hartford, Connecticut |
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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: 1033600226
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 08/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739542622
- Enrollment ID: I20230824002884
Medical Identifiers
Medical identifiers for Mrs Rachel Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033600226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 003990 (Connecticut) | 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 Rachel Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Reflections Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063818052
PECOS PAC ID: 0941669139
Enrollment ID: O20230706001784 |
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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. Mrs Rachel Carlson 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 Rachel Carlson, PSYD
17 S Highland St,
West Hartford, CT 06119-1826
Ph: (860) 258-4171 | Mrs Rachel Carlson, PSYD
17 S Highland St,
West Hartford, CT 06119-1826
Ph: (860) 258-4171 |
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