Tamara M Derosia, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Hydeville, Vermont. Her current practice location is
912 Route 4a W Ste 2, Hydeville, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 558-3477.
Tamara M Derosia is licensed to practice in Vermont (license number 0680000742) 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 1255598355.
Healthcare Provider's Profile
Full Name | Tamara M Derosia |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 912 Route 4a W Ste 2, Hydeville, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255598355
- Provider Enumeration Date: 05/18/2008
- Last Update Date: 09/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 8426118282
- Enrollment ID: I20240301002778
Medical Identifiers
Medical identifiers for Tamara M Derosia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255598355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0680000742 (Vermont) | Primary |
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. Tamara M Derosia 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 |
Tamara M Derosia, LCMHC 20 Adams St, Fair Haven, VT 05743-1238 Ph: (802) 265-3558 | Tamara M Derosia, LCMHC 912 Route 4a W Ste 2, Hydeville, VT 05750-9700 Ph: (802) 558-3477 |
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