Stacey Leclerc, BS, LCDP in Providence, RI - Medicare Counselor Provider

Stacey Leclerc, BS, LCDP is a medicare enrolled "Counselor - Mental Health" provider in Providence, Rhode Island. Her current practice location is 528 N Main St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 276-4020.

Stacey Leclerc is licensed to practice in Rhode Island (license number MHC01402) 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 1346709029.

Contact Information

	Stacey Leclerc, BS, LCDP
	528 N Main St, Providence, RI 02904-5757
	(401) 276-4020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Leclerc
Gender	Female
Speciality	Counselor - Mental Health
Location	528 N Main St, 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: 1346709029
Provider Enumeration Date: 03/13/2019
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 5698110062
Enrollment ID: I20240226003009

Medical Identifiers

Medical identifiers for Stacey Leclerc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346709029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CDP00784 (Rhode Island)	Secondary
101YM0800X	Counselor - Mental Health	MHC01402 (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. Stacey Leclerc allows following entities to bill medicare on her behalf.

Entity Name	The Providence Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840

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. Stacey Leclerc 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
Stacey Leclerc, BS, LCDP 528 N Main St Unit 4, Providence, RI 02904-5770 Ph: () -	Stacey Leclerc, BS, LCDP 528 N Main St, Providence, RI 02904-5757 Ph: (401) 276-4020

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

Stacey Leclerc, BS, LCDP - Medicare Counselor in Providence, RI