Dorothy J Whalen, LCSW,RN, CASAC - Medicare Counselor in Cross River, NY

Dorothy J Whalen, LCSW,RN, CASAC is a medicare enrolled "Counselor - Mental Health" provider in Cross River, New York. She graduated from healthcare school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 54 Winterberry Circle, Cross River, Ny, Usa, Cross River, New York. You can reach out to her office (for appointments etc.) via phone at (845) 661-7622.

Dorothy J Whalen is licensed to practice in New York (license number RO39310-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265593180.

Contact Information

Dorothy J Whalen, LCSW,RN, CASAC
54 Winterberry Circle, Cross River, Ny, Usa,
Cross River, NY 10518-1310
(845) 661-7622
(914) 669-8361

Map and Direction


Healthcare Provider's Profile

Full NameDorothy J Whalen
GenderFemale
SpecialityClinical Social Worker
Experience36 Years
Location54 Winterberry Circle, Cross River, Ny, Usa, Cross River, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dorothy J Whalen graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1265593180
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961792320
  • Enrollment ID: I20160617000402

Medical Identifiers

Medical identifiers for Dorothy J Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265593180NPI-NPPES
R039319-1OtherNYSTATE LICENSE NUMBER
3771OtherNYNY SUBSTANCE REGISTRATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health RO39310-1 (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. Dorothy J Whalen allows following entities to bill medicare on her behalf.
Entity NameDorothy Whalen Lcsw Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831538347
PECOS PAC ID: 6709176159
Enrollment ID: O20160526001326

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. Dorothy J Whalen 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
Dorothy J Whalen, LCSW,RN, CASAC
54 Winterberry Circle, Cross River, Ny, Usa,
Cross River, NY 10518-1310

Ph: (845) 661-7622
Dorothy J Whalen, LCSW,RN, CASAC
54 Winterberry Circle, Cross River, Ny, Usa,
Cross River, NY 10518-1310

Ph: (845) 661-7622

Reviews and Comments


Counselor in Cross River, NY

Ms. Cynthia Leigh Haupt, LCSW-R
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 892 Route 35, Cross River, NY 10518
Phone: 914-763-0868    Fax: 914-763-0868
Tara Winter-digirolamo, LCAT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 873 Route 35, Cross River, NY 10518
Phone: 347-263-4582    
Ms. Rebecca Walkley, MS, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 873 Route 35, Suite B, Cross River, NY 10518
Phone: 914-262-6320    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.