Mrs Alicia Rae Tavares, LMHC - Medicare Counselor in Providence, RI

Mrs Alicia Rae Tavares, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Providence, Rhode Island. Her current practice location is 1093 Elmwood Ave Apt 2, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 787-1265.

Mrs Alicia Rae Tavares is licensed to practice in Rhode Island (license number MHC00856) 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 1023421534.

Contact Information

Mrs Alicia Rae Tavares, LMHC
1093 Elmwood Ave Apt 2,
Providence, RI 02907-3669
(401) 787-1265
Not Available

Healthcare Provider's Profile

Full NameMrs Alicia Rae Tavares
GenderFemale
SpecialityCounselor - Mental Health
Location1093 Elmwood Ave Apt 2, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023421534
  • Provider Enumeration Date: 06/03/2014
  • Last Update Date: 12/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951744069
  • Enrollment ID: I20240206001851

Medical Identifiers

Medical identifiers for Mrs Alicia Rae Tavares such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023421534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MHC00856 (Rhode Island)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. Mrs Alicia Rae Tavares allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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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. Mrs Alicia Rae Tavares 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 AddressPractice Location Address
Mrs Alicia Rae Tavares, LMHC
1093 Elmwood Ave Apt 2,
Providence, RI 02907-3669

Ph: (401) 787-1265
Mrs Alicia Rae Tavares, LMHC
1093 Elmwood Ave Apt 2,
Providence, RI 02907-3669

Ph: (401) 787-1265

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Counselor in Providence, RI

Olivia Meunier, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 530 N Main St, Providence, RI 02904
Phone: 401-274-2500    
Mr. Brian P Shea, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 50 Park Row W, #426, Providence, RI 02903
Phone: 617-455-2788    
Alisha Choquette, AA, ACDP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 66 Burnett St, Providence, RI 02907
Phone: 401-785-0050    Fax: 401-941-0089
Betsy Riccio,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 300 River Ave, Providence, RI 02908
Phone: 401-465-1955    
Miss Ashley L Addison, BA, LCDP, CCSP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 530 N Main St, Providence, RI 02904
Phone: 401-276-4100    
Jennifer Ortiz,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 66 Pavilion Ave, Providence, RI 02905
Phone: 401-461-9110    
Shane Lima,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 66 Pavilion Ave, Providence, RI 02905
Phone: 401-461-9110    

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