Ms Elise Catherine Derevjanik, LMHC in New Paltz, NY

Ms Elise Catherine Derevjanik, LMHC is a medicare enrolled "Counselor - Mental Health" provider in New Paltz, New York. Her current practice location is 199 Main St, New Paltz, New York. You can reach out to her office (for appointments etc.) via phone at (845) 901-7552.

Ms Elise Catherine Derevjanik is licensed to practice in New York (license number 18 004960) 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 1760754410.

Contact Information

	Ms Elise Catherine Derevjanik, LMHC
	199 Main St, New Paltz, NY 12561-1243
	(845) 901-7552
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Elise Catherine Derevjanik
Gender	Female
Speciality	Counselor - Mental Health
Location	199 Main St, New Paltz, 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: 1760754410
Provider Enumeration Date: 01/26/2012
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 5193249282
Enrollment ID: I20250410001289

Medical Identifiers

Medical identifiers for Ms Elise Catherine Derevjanik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760754410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	18 004960 (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. Ms Elise Catherine Derevjanik allows following entities to bill medicare on her behalf.

Entity Name	Senior Care Therapy Lcsw Of New York Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932677168 PECOS PAC ID: 7113269010 Enrollment ID: O20190424002784

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. Ms Elise Catherine Derevjanik 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
Ms Elise Catherine Derevjanik, LMHC 199 Main St, New Paltz, NY 12561-1243 Ph: (845) 901-7552	Ms Elise Catherine Derevjanik, LMHC 199 Main St, New Paltz, NY 12561-1243 Ph: (845) 901-7552

Reviews and Comments

Counselor in New Paltz, NY

Mr. Richard Ira Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Duzine Rd, New Paltz, NY 12561 Phone: 845-810-0022 Fax: 845-943-6757
Ellen Meredith Johnson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Main St Ste 326, New Paltz, NY 12561 Phone: 845-419-1609
Raphaela Kramer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 N Chestnut St, New Paltz, NY 12561 Phone: 845-419-3939
Iris Avishai, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Butterville Rd, New Paltz, NY 12561 Phone: 212-664-0152 Fax: 845-255-6896
Judith Swallow, LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Harrington St, New Paltz, NY 12561 Phone: 845-706-9099
Evelyn Denise Mitchell, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 257 Main St, New Paltz, NY 12561 Phone: 845-743-6878
Julie Zweig, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Kleine Kill Dr, New Paltz, NY 12561 Phone: 845-255-3566

Ms Elise Catherine Derevjanik, LMHC - Medicare Counselor in New Paltz, NY