Charlotte Marie Disotell-rusch, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Calcium, New York. Her current practice location is
25046 Cooper Ave, Calcium, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 807-8670.
Charlotte Marie Disotell-rusch is licensed to practice in New York (license number 014535-01) 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 1639888449.
Healthcare Provider's Profile
Full Name | Charlotte Marie Disotell-rusch |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 25046 Cooper Ave, Calcium, 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. |
NPI Data:
- NPI Number: 1639888449
- Provider Enumeration Date: 11/21/2022
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355870452
- Enrollment ID: I20250117001332
Medical Identifiers
Medical identifiers for Charlotte Marie Disotell-rusch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639888449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 014535-01 (New York) | Primary |
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. Charlotte Marie Disotell-rusch 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 |
Charlotte Marie Disotell-rusch, LMHC 25046 Cooper Ave, Calcium, NY 13616-2166 Ph: (315) 807-8670 | Charlotte Marie Disotell-rusch, LMHC 25046 Cooper Ave, Calcium, NY 13616-2166 Ph: (315) 807-8670 |
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