Dr Lois B Condie, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Boston, Massachusetts. Her current practice location is
300 Longwood Ave, Fegan 11, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 355-8994.
Dr Lois B Condie is licensed to practice in Massachusetts (license number 6350) 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 1972664126.
Healthcare Provider's Profile
| Full Name | Dr Lois B Condie |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 300 Longwood Ave, Boston, Massachusetts |
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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: 1972664126
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002009826
- Enrollment ID: I20101025000573
Medical Identifiers
Medical identifiers for Dr Lois B Condie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972664126 | NPI | - | NPPES |
| 0523348 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6350 (Massachusetts) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6350 (Massachusetts) | 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 Lois B Condie allows following entities to bill medicare on her behalf.
| Entity Name | C H Neurology Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063432417
PECOS PAC ID: 5496744195
Enrollment ID: O20040508000019 |
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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 Lois B Condie 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 Lois B Condie, PHD
300 Longwood Ave, Fegan 11,
Boston, MA 02115-5724
Ph: (617) 355-8994 | Dr Lois B Condie, PHD
300 Longwood Ave, Fegan 11,
Boston, MA 02115-5724
Ph: (617) 355-8994 |
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