| Mr Mark R Burgess, LCSW-R | |
|
5130 E Main Street Rd, Suite 2, Batavia, NY 14020-3496 | |
| (585) 344-1421 | |
| (585) 345-3080 |
| Full Name | Mr Mark R Burgess |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 26 Years |
| Location | 5130 E Main Street Rd, Batavia, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679865554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 075758-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmsc Az Llc | 4385929173 | 109 |
| Suburban Psychiatric Associates, Llp | 6709774318 | 34 |
| Entity Name | Suburban Psychiatric Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851331367 PECOS PAC ID: 6709774318 Enrollment ID: O20040305000880 |
| Entity Name | Bmsc Az Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20181128000051 |
| Entity Name | Professional Medical Concierge Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841812310 PECOS PAC ID: 0840614020 Enrollment ID: O20200721002421 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark R Burgess, LCSW-R 5130 E Main Street Rd, Suite 2, Batavia, NY 14020-3496 Ph: (585) 344-1421 | Mr Mark R Burgess, LCSW-R 5130 E Main Street Rd, Suite 2, Batavia, NY 14020-3496 Ph: (585) 344-1421 |
Genevieve M. Butterworth, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5130 E Main Street Rd, Suite 2, Batavia, NY 14020 Phone: 585-344-1421 Fax: 585-344-3047 | |
Ashley R Stowell, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5130 E Main St, Batavia, NY 14020 Phone: 585-344-1421 | |
Ms. Mary Eileen Caito, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Richmond Ave, Batavia, NY 14020 Phone: 716-862-8598 | |
Juliann Mayeu, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3744 Pearl Street Rd, Batavia, NY 14020 Phone: 585-993-7410 | |
Ms. Nancy H Hendrickson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5130 E Main Street Rd, Batavia, NY 14020 Phone: 585-344-1421 | |
Rebecca Welch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Richmond Ave, Batavia, NY 14020 Phone: 585-297-1214 | |
Ms. Katharine Beth Vantreese, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Richmond Ave, Batavia, NY 14020 Phone: 231-622-3169 Fax: 585-297-1332 |