| Mr Cory R Shutts, | |
|
16 Phillips St, Massena, NY 13662-2016 | |
| (315) 764-8076 | |
| (315) 764-8079 |
| Full Name | Mr Cory R Shutts |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 16 Phillips St, Massena, 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 |
|---|---|---|---|
| 1770908196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 006804 (New York) | Primary |
| Entity Name | United Helpers Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932938479 PECOS PAC ID: 2264408426 Enrollment ID: O20040908001427 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cory R Shutts, 80 State Highway 310 Ste 1, Canton, NY 13617-1436 Ph: (315) 386-2167 | Mr Cory R Shutts, 16 Phillips St, Massena, NY 13662-2016 Ph: (315) 764-8076 |
Cassandra Marie Casey I, CASAC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Hospital Dr, Massena, NY 13662 Phone: 315-705-6564 | |
Ms. Michelle Ashley Smoke, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 16 Phillips St, Massena, NY 13662 Phone: 315-764-8076 | |
Jacob A Goyco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Hospital Dr, Massena, NY 13662 Phone: 315-705-6564 | |
Mrs. Tania L Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Brighton St, Massena, NY 13662 Phone: 315-764-0718 Fax: 315-769-1893 | |
Jessica Gardner Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Hospital Drive, Bushnell Medica, Massena, NY 13662 Phone: 315-705-6564 Fax: 315-705-6567 | |
Alison Patricia Herne, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Maple St, Massena, NY 13662 Phone: 518-358-3141 | |
Mrs. Robin G Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Harrowgate Commons, Massena, NY 13662 Phone: 315-764-0718 Fax: 315-769-1893 |