Shereen Khoo, is a medicare enrolled "Psychologist - Clinical" provider in Providence, Rhode Island. Her current practice location is
593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 444-2128.
Shereen Khoo is licensed to practice in Rhode Island (license number PS02218) 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 1679126346.
Healthcare Provider's Profile
| Full Name | Shereen Khoo |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 593 Eddy St, 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: 1679126346
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183162860
- Enrollment ID: I20240813000905
Medical Identifiers
Medical identifiers for Shereen Khoo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679126346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS02218 (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. Shereen Khoo allows following entities to bill medicare on her behalf.
| Entity Name | Lifespan Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548506793
PECOS PAC ID: 2567455082
Enrollment ID: O20130528000089 |
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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. Shereen Khoo 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 |
|---|
Shereen Khoo,
593 Eddy St,
Providence, RI 02903-4923
Ph: (716) 704-4551 | Shereen Khoo,
593 Eddy St,
Providence, RI 02903-4923
Ph: (401) 444-2128 |
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