Dr Lara N Coughlin, PHD in Ann Arbor, MI - Medicare Psychologist Provider

Dr Lara N Coughlin, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ann Arbor, Michigan. Her current practice location is 4250 Plymouth Rd, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 764-6443.

Dr Lara N Coughlin is licensed to practice in Michigan (license number 6301018188) 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 1003443177.

Contact Information

	Dr Lara N Coughlin, PHD
	4250 Plymouth Rd, Ann Arbor, MI 48109-2700
	(734) 764-6443
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lara N Coughlin
Gender	Female
Speciality	Psychologist - Clinical
Location	4250 Plymouth Rd, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003443177
Provider Enumeration Date: 03/26/2020
Last Update Date: 06/15/2020

Medicare PECOS Information:

PECOS PAC ID: 7416371273
Enrollment ID: I20200727001713

Medical Identifiers

Medical identifiers for Dr Lara N Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003443177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301018188 (Michigan)	Primary
103T00000X	Psychologist	6301018188 (Michigan)	Secondary

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 Lara N Coughlin allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568487130 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000462

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 Lara N Coughlin 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 Lara N Coughlin, PHD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299	Dr Lara N Coughlin, PHD 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 Ph: (734) 764-6443

Reviews and Comments

Psychologist in Ann Arbor, MI

Mr. Michael Eugene Wallace, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 E Liberty St, Suite 2, Ann Arbor, MI 48104 Phone: 734-330-3580
David R Manwiller, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 S Main St, Ann Arbor, MI 48104 Phone: 734-716-7049
Karen Gottschalk, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Washtenaw Ave, Ste 7e, Ann Arbor, MI 48104 Phone: 734-332-9184
Junichi Shimaoka, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1316 Packard St Apt 2, Ann Arbor, MI 48104 Phone: 408-475-8739 Fax: 734-763-0454
Dr. Amy Paggeot, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite #210, Ann Arbor, MI 48105 Phone: 734-462-3210
James B Franklin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 E William St, Ann Arbor, MI 48104 Phone: 248-413-7283

Dr Lara N Coughlin, PHD - Medicare Psychologist in Ann Arbor, MI