Dr Alecia Sundsmo, PSYD in Ithaca, NY - Medicare Psychologist Provider

Dr Alecia Sundsmo, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Ithaca, New York. Her current practice location is 127 W State St, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at (607) 273-7494.

Dr Alecia Sundsmo is licensed to practice in New York (license number 024334) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831324557.

Contact Information

	Dr Alecia Sundsmo, PSYD
	127 W State St, Ithaca, NY 14850-5474
	(607) 273-7494
	(607) 273-7484

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alecia Sundsmo
Gender	Female
Speciality	Psychologist - Clinical
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.

NPI Data:

NPI Number: 1831324557
Provider Enumeration Date: 05/26/2009
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 8527412097
Enrollment ID: I20231003000184

Medical Identifiers

Medical identifiers for Dr Alecia Sundsmo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831324557	NPI	-	NPPES
06946	Other	IA	WELLMARK BCBS OF IOWA
0069468	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	024334 (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. 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 Alecia Sundsmo allows following entities to bill medicare on her behalf.

Entity Name	Family & Childrens Service Of Ithaca Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124176680 PECOS PAC ID: 0446249957 Enrollment ID: O20040510001270

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 Alecia Sundsmo 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
Dr Alecia Sundsmo, PSYD 127 W State St, Ithaca, NY 14850-5474 Ph: (607) 273-7494	Dr Alecia Sundsmo, PSYD 127 W State St, Ithaca, NY 14850-5474 Ph: (607) 273-7494

Reviews and Comments

Psychologist in Ithaca, NY

Randy E Patterson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Ho Plz, Ithaca, NY 14853 Phone: 607-255-5155
Genel Gronkowski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Ho Plz, Ithaca, NY 14853 Phone: 607-255-5155
Dr. David Shaw Frahm, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Hanshaw Rd, Suite 7, Ithaca, NY 14850 Phone: 607-333-7337 Fax: 607-333-7337
Kenneth Miles Cohen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Cornell University Health Services, Ho Plaza, Ithaca, NY 14853 Phone: 607-255-6946 Fax: 607-254-3503
Dr. Leslie Davis Byron, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 W Seneca St Ste 100, Ithaca, NY 14850 Phone: 607-277-8020 Fax: 607-277-7961
Dr. Alexandra Lerner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Whitetail Dr, Ithaca, NY 14850 Phone: 518-545-1030
Sarah M Markowitz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 950 Danby Rd Ste 202, Ithaca, NY 14850 Phone: 607-260-3100

Dr Alecia Sundsmo, PSYD - Medicare Psychologist in Ithaca, NY