Mrs Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL is a medicare enrolled "Counselor - Mental Health" provider in Middle Village, New York. Her current practice location is
6350 Pleasantview St, Middle Village, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 604-5592.
Mrs Mary Louise Lara Gabriel is licensed to practice in New York (license number 000482-1) 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 1063770998.
Healthcare Provider's Profile
Full Name | Mrs Mary Louise Lara Gabriel |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6350 Pleasantview St, Middle Village, New York |
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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: 1063770998
- Provider Enumeration Date: 04/28/2012
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345682845
- Enrollment ID: I20240530000078
Medical Identifiers
Medical identifiers for Mrs Mary Louise Lara Gabriel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063770998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | CONTROL # 96572001 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 000482-1 (New York) | Primary |
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. Mrs Mary Louise Lara Gabriel 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 |
Mrs Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL 6350 Pleasantview St, Middle Village, NY 11379-1844 Ph: (917) 604-5592 | Mrs Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL 6350 Pleasantview St, Middle Village, NY 11379-1844 Ph: (917) 604-5592 |
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