Laura Raicu Prado, PSYD in Fond Du Lac, WI - Medicare Psychologist Provider

Laura Raicu Prado, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fond Du Lac, Wisconsin. Her current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 929-2300.

Laura Raicu Prado is licensed to practice in Wisconsin (license number 4157-57) 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 1770143620.

Contact Information

	Laura Raicu Prado, PSYD
	430 E Division St, Fond Du Lac, WI 54935-4597
	(920) 929-2300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Raicu Prado
Gender	Female
Speciality	Psychologist - Clinical
Location	430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770143620
Provider Enumeration Date: 06/13/2019
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 0345601258
Enrollment ID: I20230725001717

Medical Identifiers

Medical identifiers for Laura Raicu Prado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770143620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4157-57 (Wisconsin)	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. Laura Raicu Prado allows following entities to bill medicare on her behalf.

Entity Name	The Psychology Center S C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710942107 PECOS PAC ID: 6507857463 Enrollment ID: O20040519001379

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. Laura Raicu Prado 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
Laura Raicu Prado, PSYD 1808 W Beltline Hwy, Ssm Health Fdl Regional Clinic, Madison, WI 53713-2334 Ph: (920) 926-8343	Laura Raicu Prado, PSYD 430 E Division St, Fond Du Lac, WI 54935-4597 Ph: (920) 929-2300

Reviews and Comments

Psychologist in Fond Du Lac, WI

Dr. Espen Klausen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3529
Dr. Domenick Tirabassi Iv, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8492 Fax: 920-926-8903
Nancy L Goranson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885
Joseph Haney, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3527
Dr. Teri L. Kaczmarek, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Clare Lawlor, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 847-331-2227 Fax: 920-926-8933
Troy William Sheide, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 498 Ruggles St, Fond Du Lac, WI 54935 Phone: 801-703-6192

Laura Raicu Prado, PSYD - Medicare Psychologist in Fond Du Lac, WI