White Tara Therapy Llc is a medicare enrolled primary clinic (Social Worker - Clinical) in Eldred, New York. The current practice location for White Tara Therapy Llc is 45 Clark Rd, Eldred, New York. For appointments, you can reach them via phone at
(845) 741-8898. The mailing address for White Tara Therapy Llc is 45 Clark Rd, Eldred, New York and phone number is (845) 741-8898.
White Tara Therapy Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1043071731. 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
(845) 741-8898.
Primary Care Clinic Profile
| Full Name | White Tara Therapy Llc |
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| Speciality | Social Worker |
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| Location | 45 Clark Rd, Eldred, New York |
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| Authorized Official Name and Position | Philip A Zuckerman (OWNER) |
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| Authorized Official Contact | 8457418898 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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White Tara Therapy Llc
45 Clark Rd
Eldred
NY 12732-5012
Ph: (845) 741-8898 | White Tara Therapy Llc
45 Clark Rd
Eldred
NY 12732-5012
Ph: (845) 741-8898 |
NPI Details:
| NPI Number | 1043071731 |
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| Provider Enumeration Date | 01/19/2024 |
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| Last Update Date | 01/23/2025 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4789023664 |
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| Medicare Enrollment ID | O20240412000282 |
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Medical Identifiers
Medical identifiers for White Tara Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043071731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
White Tara Therapy Llc acts as a billing entity for following providers:
| Provider Name | Philip Alan Zuckerman |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1144383563
PECOS PAC ID: 2264492982
Enrollment ID: I20140313000710 |
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