Erica Beachy-randall, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Princeton, Massachusetts. Her current practice location is
26 Calamint Hill Rd N, Princeton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(801) 699-3536.
Erica Beachy-randall is licensed to practice in Massachusetts (license number 10985) 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 1982953352.
Healthcare Provider's Profile
Full Name | Erica Beachy-randall |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 26 Calamint Hill Rd N, Princeton, Massachusetts |
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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: 1982953352
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 01/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032582903
- Enrollment ID: I20230224001307
Medical Identifiers
Medical identifiers for Erica Beachy-randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982953352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 10985 (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. Erica Beachy-randall allows following entities to bill medicare on her behalf.
Entity Name | Meditelecare Of Massachusetts, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003496506 PECOS PAC ID: 8921417064 Enrollment ID: O20210503000425 |
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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. Erica Beachy-randall 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 |
Erica Beachy-randall, PSYD 84 State St, Boston, MA 02109-2202 Ph: (860) 788-6404 | Erica Beachy-randall, PSYD 26 Calamint Hill Rd N, Princeton, MA 01541-1718 Ph: (801) 699-3536 |
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