Mr Paul E Sanders, LMHC, LCDP - Medicare Counselor in Middletown, RI

Mr Paul E Sanders, LMHC, LCDP is a medicare enrolled "Counselor - Mental Health" provider in Middletown, Rhode Island. His current practice location is 127 Johnny Cake Hill Road, Middletown, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 846-1340.

Mr Paul E Sanders is licensed to practice in Rhode Island (license number LMHC) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437305893.

Contact Information

Mr Paul E Sanders, LMHC, LCDP
127 Johnny Cake Hill Road,
Middletown, RI 02842-5674
(401) 846-1340
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Paul E Sanders
GenderMale
SpecialityCounselor - Mental Health
Location127 Johnny Cake Hill Road, Middletown, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437305893
  • Provider Enumeration Date: 08/16/2008
  • Last Update Date: 07/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345691549
  • Enrollment ID: I20240112000392

Medical Identifiers

Medical identifiers for Mr Paul E Sanders such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437305893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCDP (Rhode Island)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YM0800XCounselor - Mental Health LMHC (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. Mr Paul E Sanders allows following entities to bill medicare on his behalf.
Entity NameNewport County Community Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093713174
PECOS PAC ID: 9830089812
Enrollment ID: O20040316000531

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. Mr Paul E Sanders 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 AddressPractice Location Address
Mr Paul E Sanders, LMHC, LCDP
127 Johnny Cake Hill Road,
Middletown, RI 02842-5674

Ph: (401) 846-1340
Mr Paul E Sanders, LMHC, LCDP
127 Johnny Cake Hill Road,
Middletown, RI 02842-5674

Ph: (401) 846-1340

Reviews and Comments


Counselor in Middletown, RI

Ms. Margaret Elizabeth Koch, MRC, LMHC, CAGS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 31 John Clarke Rd, Middletown, RI 02842
Phone: 401-848-4184    Fax: 401-848-2336
Mrs. Antonette Lyn Marshall, L.C.S.W.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 26 Valley Rd, Middletown, RI 02842
Phone: 401-848-6363    
Michael Infante, MHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 42 Valley Rd Ste 3c, Middletown, RI 02842
Phone: 401-842-0089    
Mrs. Kristin Elizabeth Martin, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 575 E Main Rd, Middletown, RI 02842
Phone: 401-924-3924    Fax: 401-619-7766
Seav Mey Y, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 127 Johnny Cake Hill Rd, Middletown, RI 02842
Phone: 401-843-1213    
Kelly Armitage,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 58 E Main Rd Ste 1, Middletown, RI 02842
Phone: 401-608-3322    
Kayti L Sylvia, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 31 John Clarke Rd, Middletown, RI 02842
Phone: 401-848-4180    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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