Dr Eartha M Hackett, PHD is a medicare enrolled "Psychologist - Counseling" provider in Rosedale, New York. Her current practice location is
13037 235th St, Rosedale, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 209-3753.
Dr Eartha M Hackett is licensed to practice in New York (license number 024082-01) 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 1265014518.
Healthcare Provider's Profile
Full Name | Dr Eartha M Hackett |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 13037 235th St, Rosedale, New York |
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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: 1265014518
- Provider Enumeration Date: 04/26/2021
- Last Update Date: 04/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921531070
- Enrollment ID: I20241028002461
Medical Identifiers
Medical identifiers for Dr Eartha M Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265014518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 024082-01 (New York) | 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. Dr Eartha M Hackett allows following entities to bill medicare on her behalf.
Entity Name | Neshama Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942982244 PECOS PAC ID: 3072046523 Enrollment ID: O20241023001452 |
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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. Dr Eartha M Hackett 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 Eartha M Hackett, PHD 13037 235th St, Rosedale, NY 11422-1215 Ph: (646) 209-3753 | Dr Eartha M Hackett, PHD 13037 235th St, Rosedale, NY 11422-1215 Ph: (646) 209-3753 |
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