Dr Julia Maietta, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Cranston, Rhode Island. Her current practice location is
1170 Pontiac Ave, Cranston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 500-0424.
Dr Julia Maietta is licensed to practice in Rhode Island (license number PS02265) 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 1356020945.
Healthcare Provider's Profile
| Full Name | Dr Julia Maietta |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1170 Pontiac Ave, Cranston, Rhode Island |
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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: 1356020945
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375085830
- Enrollment ID: I20240612000718
Medical Identifiers
Medical identifiers for Dr Julia Maietta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356020945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PS02265 (Rhode Island) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PS02265 (Rhode Island) | 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 Julia Maietta allows following entities to bill medicare on her behalf.
| Entity Name | South County Psychiatry Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003454034
PECOS PAC ID: 4880021658
Enrollment ID: O20200218000767 |
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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 Julia Maietta 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 Julia Maietta, PHD
8409 Canyon Trail Dr,
Oklahoma City, OK 73135-6001
Ph: (214) 729-1482 | Dr Julia Maietta, PHD
1170 Pontiac Ave,
Cranston, RI 02920-7944
Ph: (401) 500-0424 |
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