Mrs Alice Smith, LMHC, CASAC in Port Jervis, NY

Mrs Alice Smith, LMHC, CASAC is a medicare enrolled "Counselor - Mental Health" provider in Port Jervis, New York. Her current practice location is 123 Pike St, Port Jervis, New York. You can reach out to her office (for appointments etc.) via phone at (845) 856-7576.

Mrs Alice Smith is licensed to practice in New York (license number 000429) 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 1689129694.

Contact Information

	Mrs Alice Smith, LMHC, CASAC
	123 Pike St, Port Jervis, NY 12771-1824
	(845) 856-7576
	(845) 856-8231

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Alice Smith
Gender	Female
Speciality	Counselor - Mental Health
Location	123 Pike St, Port Jervis, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689129694
Provider Enumeration Date: 08/19/2016
Last Update Date: 08/19/2016

Medicare PECOS Information:

PECOS PAC ID: 7416485081
Enrollment ID: I20250109002708

Medical Identifiers

Medical identifiers for Mrs Alice Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689129694	NPI	-	NPPES
12588	Other	NY	NYS OASAS
000429	Other	NY	NEW YORK STATE OFFICE OF PROFESSIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	000429 (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. Mrs Alice Smith 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
Mrs Alice Smith, LMHC, CASAC 123 Pike St, Port Jervis, NY 12771-1824 Ph: (845) 856-7576	Mrs Alice Smith, LMHC, CASAC 123 Pike St, Port Jervis, NY 12771-1824 Ph: (845) 856-7576

Reviews and Comments

Counselor in Port Jervis, NY

George Rumsey, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Pike St, Port Jervis, NY 12771 Phone: 845-856-7576 Fax: 845-393-8010
Ms. Mary Ann Ricci, CARC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 West Main, Port Jervis, NY 12771 Phone: 845-699-3713
Patricia Bernadette Dunn, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Sussex St # 19, Port Jervis, NY 12771 Phone: 845-856-6344 Fax: 845-856-4091
Mrs. Holly Aschoff, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 17 Sussex St, Port Jervis, NY 12771 Phone: 845-856-6344
Ms. Sarah Cooper, CASAC ADVANCED Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Pike St, Port Jervis, NY 12771 Phone: 845-856-7576
Ms. Cherylanne Cohen, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Pike St, Port Jervis, NY 12771 Phone: 845-856-7576 Fax: 845-393-8011
Sheila Quinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Sussex St # 19, Port Jervis, NY 12771 Phone: 845-856-6344 Fax: 845-856-4091

Mrs Alice Smith, LMHC, CASAC - Medicare Counselor in Port Jervis, NY