Ms Gidget Qv Rafus-rousell, CASAC II in Canton, NY

Ms Gidget Qv Rafus-rousell, CASAC II is a medicare enrolled "Counselor - Mental Health" provider in Canton, New York. Her current practice location is 80 State Highway 310 Ste 1, St. Lawrence County Community, Canton, New York. You can reach out to her office (for appointments etc.) via phone at (315) 386-2167.

Ms Gidget Qv Rafus-rousell is licensed to practice in New York (license number 005006-1) 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 1376827196.

Contact Information

	Ms Gidget Qv Rafus-rousell, CASAC II
	80 State Highway 310 Ste 1, St. Lawrence County Community, Canton, NY 13617-1436
	(315) 386-2167
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Gidget Qv Rafus-rousell
Gender	Female
Speciality	Counselor - Mental Health
Location	80 State Highway 310 Ste 1, Canton, 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: 1376827196
Provider Enumeration Date: 09/29/2011
Last Update Date: 03/07/2018

Medicare PECOS Information:

PECOS PAC ID: 7517383631
Enrollment ID: I20250402000453

Medical Identifiers

Medical identifiers for Ms Gidget Qv Rafus-rousell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376827196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	22453 (New York)	Secondary
101YM0800X	Counselor - Mental Health	005006-1 (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 Gidget Qv Rafus-rousell allows following entities to bill medicare on her behalf.

Entity Name	Professional Medical Concierge Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841812310 PECOS PAC ID: 0840614020 Enrollment ID: O20200721002421

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 Gidget Qv Rafus-rousell 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 Gidget Qv Rafus-rousell, CASAC II 80 State Highway 310 Ste 1, Canton, NY 13617-1436 Ph: (315) 386-2167	Ms Gidget Qv Rafus-rousell, CASAC II 80 State Highway 310 Ste 1, St. Lawrence County Community, Canton, NY 13617-1436 Ph: (315) 386-2167

Reviews and Comments

Counselor in Canton, NY

Ms. Jacqueline Schwartz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5862 Sh 11, Canton, NY 13617 Phone: 315-379-0805
Ms. Mavis A Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435
Meghan Vollmer, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 St Hwy 310 Ste 1, Canton, NY 13617 Phone: 315-386-2167
Morolake Odetoyinbo, Counselor Medicare: Medicare Enrolled Practice Location: 23 Church St, Canton, NY 13617 Phone: 240-507-2585
Ms. Ruthann M Matthews, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435
Ms. Nereida Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2167 Fax: 315-386-2435
Mr. Bryan J Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435

Ms Gidget Qv Rafus-rousell, CASAC II - Medicare Counselor in Canton, NY