Dr Autumn Marie Gallegos Greenwich, PHD in Canandaigua, NY - Medicare Clinical Psychologist Provider

Dr Autumn Marie Gallegos Greenwich, PHD is a medicare enrolled "Psychologist - Clinical" provider in Canandaigua, New York. She graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Of Rochester Department Of Psychiatry Clinical Group and her current practice location is 400 Fort Hill Ave, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-6671.

Dr Autumn Marie Gallegos Greenwich is licensed to practice in New York (license number 019439) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376891754.

Contact Information

	Dr Autumn Marie Gallegos Greenwich, PHD
	400 Fort Hill Ave, Canandaigua, NY 14424-1159
	(585) 275-6671
	(585) 273-1082

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Autumn Marie Gallegos Greenwich
Gender	Female
Speciality	Clinical Psychologist
Experience	16 Years
Location	400 Fort Hill Ave, Canandaigua, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Autumn Marie Gallegos Greenwich graduated from medical school in 2010

NPI Data:

NPI Number: 1376891754
Provider Enumeration Date: 08/16/2012
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6800110305
Enrollment ID: I20150109000746

Medical Identifiers

Medical identifiers for Dr Autumn Marie Gallegos Greenwich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376891754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	19439 (New York)	Secondary
103TC0700X	Psychologist - Clinical	019439 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Rochester Department Of Psychiatry Clinical Group	3173420429	61

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 Autumn Marie Gallegos Greenwich allows following entities to bill medicare on her behalf.

Entity Name	University Of Rochester Department Of Psychiatry Clinical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276

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 Autumn Marie Gallegos Greenwich 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 Autumn Marie Gallegos Greenwich, PHD 400 Fort Hill Ave, Canandaigua, NY 14424-1159 Ph: (585) 275-6671	Dr Autumn Marie Gallegos Greenwich, PHD 400 Fort Hill Ave, Canandaigua, NY 14424-1159 Ph: (585) 275-6671

Reviews and Comments

Psychologist in Canandaigua, NY

Cynthia Poole, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257
Dr. Sarah Donovan, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5151 Fieldstone Trl, Canandaigua, NY 14424 Phone: 518-428-7430
Ms. Alysse Daansen Foster, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5415 County Road 30, Canandaigua, NY 14424 Phone: 585-394-1190
Caroline Pierpont Payne, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42 North Main Street, Canandaigua, NY 12180 Phone: 585-919-0018 Fax: 585-393-0014
Diane Carol Hahn, Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442
Kimberley Mullen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-393-7613
Kathleen Lewandowski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257

Dr Autumn Marie Gallegos Greenwich, PHD - Medicare Psychologist in Canandaigua, NY