Tracey Rocha Phelon, PHD is a medicare enrolled "Psychologist" provider in Leicester, Massachusetts. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
1078 Main St, Leicester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 470-1505.
Tracey Rocha Phelon is licensed to practice in Massachusetts (license number 9803) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538583745.
Healthcare Provider's Profile
Full Name | Tracey Rocha Phelon |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 12 Years |
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Location | 1078 Main St, Leicester, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tracey Rocha Phelon graduated from medical school in 2012
NPI Data:
- NPI Number: 1538583745
- Provider Enumeration Date: 02/07/2014
- Last Update Date: 08/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082838552
- Enrollment ID: I20140624002044
Medical Identifiers
Medical identifiers for Tracey Rocha Phelon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538583745 | NPI | - | NPPES |
1538583745 | Other | MA | BCBS MA |
1538583745 | Other | MA | UNITED BEHAVIORAL HEALTH |
91215302 | Other | MA | NETWORK HEALTH/TUFTS PLAN |
5621509 | Other | MA | CIGNA |
1538583745 | Other | MA | BEACON |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 9803 (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. Tracey Rocha Phelon allows following entities to bill medicare on her behalf.
Entity Name | Mitchell I Clionsky |
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Entity Type | Practitioner - Clinical Psychologist |
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Entity Identifiers | NPI Number: 1083772537 PECOS PAC ID: 5294745782 Enrollment ID: I20060427000667 |
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Entity Name | Constellations Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528671740 PECOS PAC ID: 9537579206 Enrollment ID: O20201109001080 |
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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. Tracey Rocha Phelon 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 |
Tracey Rocha Phelon, PHD 1078 Main St, Leicester, MA 01524-1396 Ph: (084) 701-5055 | Tracey Rocha Phelon, PHD 1078 Main St, Leicester, MA 01524-1396 Ph: (508) 470-1505 |
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