Dr Deanna Louise Mori, PHD is a medicare enrolled "Clinic/center - Va" provider in Boston, Massachusetts. Her current practice location is
150 S Huntington Ave, Va Boston Healthcare System, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(857) 364-4121.
Dr Deanna Louise Mori is licensed to practice in Massachusetts (license number 4865) 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 1689760407.
Healthcare Provider's Profile
Full Name | Dr Deanna Louise Mori |
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Gender | Female |
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Speciality | Clinic/center - Va |
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Location | 150 S Huntington Ave, Boston, Massachusetts |
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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: 1689760407
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 05/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 3375727092
- Enrollment ID: I20160630000529
Medical Identifiers
Medical identifiers for Dr Deanna Louise Mori such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689760407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 4865 (Massachusetts) | Secondary |
261QV0200X | Clinic/center - Va | 4865 (Massachusetts) | 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 Deanna Louise Mori 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 Deanna Louise Mori, PHD 150 S Huntington Ave, Va Boston Healthcare System, Boston, MA 02130-4817 Ph: (857) 364-4121 | Dr Deanna Louise Mori, PHD 150 S Huntington Ave, Va Boston Healthcare System, Boston, MA 02130-4817 Ph: (857) 364-4121 |
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