Ms Daverne Judge, LCSW in Port Jervis, NY - Medicare Social Worker Provider

Ms Daverne Judge, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Port Jervis, New York. Her current practice location is 141 Pike Street, Port Jervis, New York. You can reach out to her office (for appointments etc.) via phone at (845) 858-1456.

Ms Daverne Judge is licensed to practice in New York (license number 073380-1) 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 1841211315.

Contact Information

	Ms Daverne Judge, LCSW
	141 Pike Street, Port Jervis, NY 12771
	(845) 858-1456
	(845) 858-1459

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Daverne Judge
Gender	Female
Speciality	Social Worker - Clinical
Location	141 Pike Street, Port Jervis, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841211315
Provider Enumeration Date: 07/21/2006
Last Update Date: 07/29/2009

Medicare PECOS Information:

PECOS PAC ID: 0648275222
Enrollment ID: I20061004000096

Medical Identifiers

Medical identifiers for Ms Daverne Judge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841211315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	073380-1 (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. Ms Daverne Judge allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Psychology Of Ny Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104315068 PECOS PAC ID: 0749536852 Enrollment ID: O20180703001311

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. Ms Daverne Judge 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
Ms Daverne Judge, LCSW 30 Harriman Drive, Goshen, NY 10924 Ph: (845) 291-2600	Ms Daverne Judge, LCSW 141 Pike Street, Port Jervis, NY 12771 Ph: (845) 858-1456

Reviews and Comments

Social Worker in Port Jervis, NY

Mr. Lawrence Edward Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Shin Hollow Rd, Port Jervis, NY 12771 Phone: 845-866-5542 Fax: 845-858-3837
Timothy Richard Gregory, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Front St, Port Jervis, NY 12771 Phone: 845-858-3253
Lacey Anne Trimble, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-291-2604
Mrs. Christine Smallin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike Street, Port Jervis, NY 12771 Phone: 845-858-1456 Fax: 845-858-1459
Ms. Victoria Caruso, LCSWR Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456
Genevieve Clineman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1459
Nichole C Delavega, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456

Ms Daverne Judge, LCSW - Medicare Clinical Social Worker in Port Jervis, NY