Tara Marie Lally, PHD LPC in Brick, NJ - Medicare Psychologist Provider

Tara Marie Lally, PHD LPC is a medicare enrolled "Psychologist" provider in Brick, New Jersey. Her current practice location is 1610 Route 88 W, Brick, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 295-6543.

Tara Marie Lally is licensed to practice in New Jersey (license number 35SI00491300) 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 1760641344.

Contact Information

	Tara Marie Lally, PHD LPC
	1610 Route 88 W, Brick, NJ 08724-3018
	(732) 295-6543
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Marie Lally
Gender	Female
Speciality	Psychologist
Location	1610 Route 88 W, Brick, 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: 1760641344
Provider Enumeration Date: 06/09/2008
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 2062673908
Enrollment ID: I20120419000593

Medical Identifiers

Medical identifiers for Tara Marie Lally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760641344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	35SI00491300 (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. Tara Marie Lally allows following entities to bill medicare on her behalf.

Entity Name	Hackensack Meridian Health Medical Group - Specialty Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524

Entity Name	Hackensack Meridian Health Medical Group - Complex Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000

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. Tara Marie Lally 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
Tara Marie Lally, PHD LPC 1610 Route 88 W, Brick, NJ 08724-3018 Ph: (732) 295-6543	Tara Marie Lally, PHD LPC 1610 Route 88 W, Brick, NJ 08724-3018 Ph: (732) 295-6543

Reviews and Comments

Psychologist in Brick, NJ

Mackenzie Keefe, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Nj Route 70, Brick, NJ 08724 Phone: 732-784-0983
Dr. George William Mcdermott, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 115 Princeton Ave, Brick, NJ 08724 Phone: 732-458-6748
Alyssa Marie Cocchiarella, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Marys Dr, Brick, NJ 08723 Phone: 732-288-5696
Dr. Justine Fulton, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 445 Brick Blvd Ste 302, Brick, NJ 08723 Phone: 908-415-6354
Carole M Beyer, ED D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1683 Route 88, Brick, NJ 08724 Phone: 732-840-5266 Fax: 732-840-7840
Dr. Adam David Christmann, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1683 Route 88 W Ste A, Brick, NJ 08724 Phone: 732-840-5266
Dr. Jay B Gordon, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1683 Route 88, Brick, NJ 08724 Phone: 732-840-5266 Fax: 732-840-7840

Tara Marie Lally, PHD LPC - Medicare Psychologist in Brick, NJ