Dr Nicole Katherine Starace, PHD in Montclair, NJ - Medicare Psychologist Provider

Dr Nicole Katherine Starace, PHD is a medicare enrolled "Psychologist - Clinical" provider in Montclair, New Jersey. Her current practice location is 50 Church St Ste 112, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (650) 485-3548.

Dr Nicole Katherine Starace is licensed to practice in New Jersey (license number 35SI00672500) 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 1720368830.

Contact Information

	Dr Nicole Katherine Starace, PHD
	50 Church St Ste 112, Montclair, NJ 07042-2761
	(650) 485-3548
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole Katherine Starace
Gender	Female
Speciality	Psychologist - Clinical
Location	50 Church St Ste 112, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720368830
Provider Enumeration Date: 08/19/2011
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6901108638
Enrollment ID: I20221124000117

Medical Identifiers

Medical identifiers for Dr Nicole Katherine Starace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720368830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	26454 (California)	Secondary
103TC0700X	Psychologist - Clinical	35SI00672500 (New Jersey)	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 Nicole Katherine Starace allows following entities to bill medicare on her behalf.

Entity Name	Rutgers Health Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021

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 Nicole Katherine Starace 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 Nicole Katherine Starace, PHD 900 Stevens Ave, Westfield, NJ 07090-1219 Ph: (650) 485-3548	Dr Nicole Katherine Starace, PHD 50 Church St Ste 112, Montclair, NJ 07042-2761 Ph: (650) 485-3548

Reviews and Comments

Psychologist in Montclair, NJ

Dr. Nicole Gali Strope, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 Park St, Montclair, NJ 07042 Phone: 973-745-2711 Fax: 973-745-2711
Dr. Ilana Tannenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31 S Fullerton Ave, 2nd Floor, Montclair, NJ 07042 Phone: 973-744-4494
Dr. Ron Handelman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 460 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-734-0780
Andrew Roth, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 55 Park St, Montclair, NJ 07042 Phone: 973-378-5641 Fax: 973-762-0045
Dr. Peter Avery, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 Park St, Montclair, NJ 07042 Phone: 973-865-1297
Dr. Sudha Wadhwani, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Valley Rd, Montclair, NJ 07042 Phone: 973-868-4616
Dr. Gina Marie Mcsheffrey-emmons, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Hillside Ave Ste 206, Montclair, NJ 07042 Phone: 917-723-9986

Dr Nicole Katherine Starace, PHD - Medicare Psychologist in Montclair, NJ