Phoenix Rising Therapeutic Services Lcsw Pc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Alfred Station, New York. The current practice location for Phoenix Rising Therapeutic Services Lcsw Pc is 5295 E Valley Rd, Alfred Station, New York. For appointments, you can reach them via phone at (607) 587-8260. The mailing address for Phoenix Rising Therapeutic Services Lcsw Pc is 5295 E Valley Rd, Alfred Station, New York and phone number is (607) 587-8260.
Phoenix Rising Therapeutic Services Lcsw Pc is licensed to practice in New York (license number R045595-1). The clinic also participates in the medicare program and its NPI number is 1003295395. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (607) 587-8260.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Phoenix Rising Therapeutic Services Lcsw Pc 5295 E Valley Rd Alfred Station NY 14803-9715 Ph: (607) 587-8260
Phoenix Rising Therapeutic Services Lcsw Pc 5295 E Valley Rd Alfred Station NY 14803-9715 Ph: (607) 587-8260
NPI Details:
NPI Number
1003295395
Provider Enumeration Date
05/20/2015
Last Update Date
05/20/2015
Medicare PECOS Information:
Medicare PECOS PAC ID
2961794144
Medicare Enrollment ID
O20160708000261
Medical Identifiers
Medical identifiers for Phoenix Rising Therapeutic Services Lcsw Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1003295395
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
1041C0700X
Social Worker - Clinical
R045595-1 (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. Phoenix Rising Therapeutic Services Lcsw Pc acts as a billing entity for following providers: