| Shane Scarofile, | |
|
127 W State St, Ithaca, NY 14850-5474 | |
| (607) 273-7494 | |
| Not Available |
| Full Name | Shane Scarofile |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 127 W State St, Ithaca, 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 |
|---|---|---|---|
| 1982285326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 015408-01 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Pinnacle Behavioral Health Ipa, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447276720 PECOS PAC ID: 5294703005 Enrollment ID: O20061005000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Scarofile, 127 W State St, Ithaca, NY 14850-5474 Ph: (607) 273-7494 | Shane Scarofile, 127 W State St, Ithaca, NY 14850-5474 Ph: (607) 273-7494 |
Andrea Arden Gerding, MSW Counselor Medicare: Medicare Enrolled Practice Location: 201 E Green St Fl 5, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280 |
Dr. Dannemart Pierre, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 Danby Rd, Ithaca, NY 14850 Phone: 561-320-1179 |
Vanessa Hendrickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St Ste 500, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280 |
Abimaelle Belizaire, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 Danby Rd Ste 202f, Ithaca, NY 14850 Phone: 607-260-3100 |
Natasha Feocco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Ithaca, NY 14850 Phone: 607-274-6288 |
Ms. Julia L. Lapp, PLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 N. Aurora St., Ithaca, NY 14850 Phone: 607-342-4403 Fax: 607-391-0162 |
Danielle Klingensmith, LCAT, MT-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 W State St, Ithaca, NY 14850 Phone: 607-273-7494 |