Dr Linda W Suriyakham, PHD is a medicare enrolled "Psychologist - Clinical" provider in Stonington, Connecticut. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
107 Wilcox Rd, Suite 107 E, Stonington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 245-9222.
Dr Linda W Suriyakham is licensed to practice in Connecticut (license number 3158) 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 1720354491.
Healthcare Provider's Profile
| Full Name | Dr Linda W Suriyakham |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 17 Years |
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| Location | 107 Wilcox Rd, Stonington, Connecticut |
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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 Linda W Suriyakham graduated from medical school in 2007
NPI Data:
- NPI Number: 1720354491
- Provider Enumeration Date: 03/28/2012
- Last Update Date: 01/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 7012132749
- Enrollment ID: I20140714000126
Medical Identifiers
Medical identifiers for Dr Linda W Suriyakham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720354491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 3158 (Connecticut) | 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 Linda W Suriyakham allows following entities to bill medicare on her behalf.
| Entity Name | Stonington Psychology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659627453
PECOS PAC ID: 6204051931
Enrollment ID: O20140714000058 |
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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 Linda W Suriyakham 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 |
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Dr Linda W Suriyakham, PHD
107 Wilcox Rd, Suite 107e,
Stonington, CT 06378-2614
Ph: (860) 245-9222 | Dr Linda W Suriyakham, PHD
107 Wilcox Rd, Suite 107 E,
Stonington, CT 06378-2614
Ph: (860) 245-9222 |
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