Dr Kenneth Lee Caccavale, MD - Medicare Psychiatry in New York, NY

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Dr Kenneth Lee Caccavale, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in New York, New York. He graduated from medical school in 1971 and has 55 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Metropolitan Community Services Inc and his current practice location is 39 Jane St, Suite #1e, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 243-9085.

Dr Kenneth Lee Caccavale is licensed to practice in New York (license number 116401-1) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1821281288.

Contact Information

Dr Kenneth Lee Caccavale, MD
39 Jane St, Suite #1e,
New York, NY 10014-5106
(212) 243-9085
(212) 243-9085

Map and Direction




Physician's Profile

Full NameDr Kenneth Lee Caccavale
GenderMale
SpecialityPsychiatry
Experience55 Years
Location39 Jane St, New York, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenneth Lee Caccavale graduated from medical school in 1971
  NPI Data:
  • NPI Number: 1821281288
  • Provider Enumeration Date: 08/20/2007
  • Last Update Date: 08/20/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8527227750
  • Enrollment ID: I20120308000060

Medical Identifiers

Medical identifiers for Dr Kenneth Lee Caccavale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821281288NPI-NPPES
00215518MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 116401-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Metropolitan Community Services Inc07495491782

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. Dr Kenneth Lee Caccavale allows following entities to bill medicare on his behalf.
Entity NameClearwater Counseling Associates Lcsw Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700236775
PECOS PAC ID: 4082900188
Enrollment ID: O20160915000267
Entity NameMetropolitan Community Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326590993
PECOS PAC ID: 0749549178
Enrollment ID: O20180110002999
Entity NameBrooklyn 38 Lcsw Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639799216
PECOS PAC ID: 7113349481
Enrollment ID: O20200616001151

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. Dr Kenneth Lee Caccavale 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 AddressPractice Location Address
Dr Kenneth Lee Caccavale, MD
39 Jane St, Suite #1e,
New York, NY 10014-5106

Ph: (212) 243-9085		Dr Kenneth Lee Caccavale, MD
39 Jane St, Suite #1e,
New York, NY 10014-5106

Ph: (212) 243-9085

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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