Dr Kendra Leeann Laconsay, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Spanish Fort, Alabama. Her current practice location is
30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 586-1009.
Dr Kendra Leeann Laconsay is licensed to practice in Alabama (license number 1055) 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 1639224744.
Healthcare Provider's Profile
Full Name | Dr Kendra Leeann Laconsay |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, Alabama |
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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: 1639224744
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 04/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941366322
- Enrollment ID: I20090310000397
Medical Identifiers
Medical identifiers for Dr Kendra Leeann Laconsay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639224744 | NPI | - | NPPES |
000098834 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1055 (Alabama) | 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 Kendra Leeann Laconsay allows following entities to bill medicare on her behalf.
Entity Name | American Autism & Rehabilitation Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477955417 PECOS PAC ID: 5698092419 Enrollment ID: O20150316001298 |
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Entity Name | Sunshine Behavioral Health Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952813503 PECOS PAC ID: 5991106296 Enrollment ID: O20210624000265 |
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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 Kendra Leeann Laconsay 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 Kendra Leeann Laconsay, PSYD 30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, AL 36527-7631 Ph: (251) 586-1009 | Dr Kendra Leeann Laconsay, PSYD 30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, AL 36527-7631 Ph: (251) 586-1009 |
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