Thomas Peter Cullen, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Ithaca, New York. His current practice location is
123 South Cayuga St. #2, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 379-2401.
Thomas Peter Cullen is licensed to practice in New York (license number R056382-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548481971.
Healthcare Provider's Profile
| Full Name | Thomas Peter Cullen |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 123 South Cayuga St. #2, Ithaca, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548481971
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 11/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 1759362189
- Enrollment ID: I20040601000284
Medical Identifiers
Medical identifiers for Thomas Peter Cullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548481971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | R056382-1 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | R056382-1 (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. Thomas Peter Cullen 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 |
Thomas Peter Cullen, LCSW-R 123 South Cayuga St. #2, Ithaca, NY 14850 Ph: (607) 379-2401 | Thomas Peter Cullen, LCSW-R 123 South Cayuga St. #2, Ithaca, NY 14850 Ph: (607) 379-2401 |
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