Dr Sally R Eldridge, PHD is a medicare enrolled "Psychologist" provider in Storrs, Connecticut. Her current practice location is
18 Dog Ln Ste A, Storrs, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 644-0305.
Dr Sally R Eldridge is licensed to practice in Connecticut (license number 3406) 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 1528142742.
Healthcare Provider's Profile
Full Name | Dr Sally R Eldridge |
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Gender | Female |
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Speciality | Psychologist |
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Location | 18 Dog Ln Ste A, Storrs, Connecticut |
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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: 1528142742
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 06/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375848690
- Enrollment ID: I20160225000009
Medical Identifiers
Medical identifiers for Dr Sally R Eldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528142742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | CT000847 (Connecticut) | Secondary |
103T00000X | Psychologist | 3406 (Connecticut) | 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. Dr Sally R Eldridge 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 |
Dr Sally R Eldridge, PHD Po Box 131, Storrs, CT 06268-0131 Ph: (860) 644-0305 | Dr Sally R Eldridge, PHD 18 Dog Ln Ste A, Storrs, CT 06268-2225 Ph: (860) 644-0305 |
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