| Jeffrey Caris, MA | |
|
150 Lake St, Elmira, NY 14901-3401 | |
| (607) 737-5215 | |
| (607) 737-5219 |
| Full Name | Jeffrey Caris |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 150 Lake St, Elmira, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922442052 | NPI | - | NPPES |
| 1336163963 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00642-1 (New York) | Primary |
| Entity Name | Tioga County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124099700 PECOS PAC ID: 6709786916 Enrollment ID: O20040113000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Caris, MA 150 Lake St, Elmira, NY 14901-3401 Ph: (607) 737-5215 | Jeffrey Caris, MA 150 Lake St, Elmira, NY 14901-3401 Ph: (607) 737-5215 |
Victoria Lynn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Sarah Belle Secor, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 100 North Main Street, Suite 214, Elmira, NY 14901 Phone: 607-737-4040 Fax: 607-734-0774 | |
Barbara Stager, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Geetha X Louisnathan, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Kristen Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Gina Marie Morse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Cynthia Koch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 |