Janice Catherine Creamer, LCSW-R is a medicare enrolled "Dietitian, Registered" provider in Canandaigua, New York. Her current practice location is
3019 County Complex Dr, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 396-4363.
Janice Catherine Creamer is licensed to practice in New York (license number 001861) 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 1861504128.
Healthcare Provider's Profile
| Full Name | Janice Catherine Creamer |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 3019 County Complex Dr, Canandaigua, 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. |
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NPI Data:
- NPI Number: 1861504128
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224305347
- Enrollment ID: I20170522000584
Medical Identifiers
Medical identifiers for Janice Catherine Creamer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861504128 | NPI | - | NPPES |
| EM | Other | NY | EXCELLUS |
| 07300051322 | Medicaid | NY | |
| 103283EU | Other | NY | PREFERRED CARE |
| 3109089 | Other | NY | VALUE OPTIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 051322 (New York) | Secondary |
| 133V00000X | Dietitian, Registered | 001861 (New York) | 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. Janice Catherine Creamer allows following entities to bill medicare on her behalf.
| Entity Name | Seneca County Treasurer |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689787517
PECOS PAC ID: 7416840301
Enrollment ID: O20040204000900 |
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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. Janice Catherine Creamer 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 |
|---|
Janice Catherine Creamer, LCSW-R
79 Church St,
Waterloo, NY 13165-1120
Ph: (315) 539-8451 | Janice Catherine Creamer, LCSW-R
3019 County Complex Dr,
Canandaigua, NY 14424-9505
Ph: (585) 396-4363 |
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