Elizabeth King Decker, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Celebration, Florida. Her current practice location is
1530 Celebration Blvd Ste 405, Celebration, Florida. You can reach out to her office (for appointments etc.) via phone at
(833) 769-3524.
Elizabeth King Decker is licensed to practice in Florida (license number MT4422) 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 1477083376.
Healthcare Provider's Profile
| Full Name | Elizabeth King Decker |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 1530 Celebration Blvd Ste 405, Celebration, Florida |
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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: 1477083376
- Provider Enumeration Date: 06/14/2017
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032653332
- Enrollment ID: I20240627002160
Medical Identifiers
Medical identifiers for Elizabeth King Decker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477083376 | NPI | - | NPPES |
| 81-509-8610 | Other | CT | IRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 001849 (Connecticut) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT4422 (Florida) | 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. Elizabeth King Decker allows following entities to bill medicare on her behalf.
| Entity Name | Personal Recovery Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20200416000590 |
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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. Elizabeth King Decker 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 |
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Elizabeth King Decker, MA, LMFT
7 Cross Ridge Dr,
Old Greenwich, CT 06870-1101
Ph: (203) 505-8404 | Elizabeth King Decker, MA, LMFT
1530 Celebration Blvd Ste 405,
Celebration, FL 34747-5165
Ph: (833) 769-3524 |
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