| Mrs Kristen A Meder, LMHC | |
|
275 Thomas Indian School Dr, Irving, NY 14081-9341 | |
| (716) 532-5582 | |
| (716) 242-6344 |
| Full Name | Mrs Kristen A Meder |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 275 Thomas Indian School Dr, Irving, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124563382 | NPI | - | NPPES |
| 07693887 | Medicaid | NY | |
| 180117000136 | Other | NY | FIDELIS |
| 10289678 | Other | NY | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 009514 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seneca Nation Of Indians | 8123920592 | 30 |
| Entity Name | Seneca Nation Of Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristen A Meder, LMHC 39 N Pangolin St Apt A, Dunkirk, NY 14048-1150 Ph: (716) 785-3698 | Mrs Kristen A Meder, LMHC 275 Thomas Indian School Dr, Irving, NY 14081-9341 Ph: (716) 532-5582 |
Nayomah Gail Wilson-castle, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Thomas Indian School Drive, Irving, NY 14081 Phone: 716-532-5583 Fax: 716-532-8324 | |
Todd Michalak, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Thomas Indian School Dr, Irving, NY 14081 Phone: 716-532-5582 Fax: 716-242-6345 | |
Heidi Lynne Kazmark, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Thomas Indian School Dr, Irving, NY 14081 Phone: 716-532-8223 |