Dr Ellen Patricia Lacter, PHD is a medicare enrolled "Marriage & Family Therapist" provider in San Diego, California. She graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
3505 Camino Del Rio S, Suite 212, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 584-7737.
Dr Ellen Patricia Lacter is licensed to practice in California (license number MFC17912) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1447274881.
Healthcare Provider's Profile
| Full Name | Dr Ellen Patricia Lacter |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 40 Years |
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| Location | 3505 Camino Del Rio S, San Diego, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ellen Patricia Lacter graduated from medical school in 1984
NPI Data:
- NPI Number: 1447274881
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022096478
- Enrollment ID: I20040712000740
Medical Identifiers
Medical identifiers for Dr Ellen Patricia Lacter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447274881 | NPI | - | NPPES |
| 076585 | Other | CA | MANAGED HEALTH NETWORK |
| PR0093820 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY9382 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC17912 (California) | 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 Ellen Patricia Lacter 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 Ellen Patricia Lacter, PHD
3505 Camino Del Rio S, Suite 212,
San Diego, CA 92108-4002
Ph: (619) 584-7737 | Dr Ellen Patricia Lacter, PHD
3505 Camino Del Rio S, Suite 212,
San Diego, CA 92108-4002
Ph: (619) 584-7737 |
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