Dr Desiree A Leboeuf, PHD - Medicare Psychologist in Canton, NY

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Dr Desiree A Leboeuf, PHD is a medicare enrolled "Psychologist" provider in Canton, New York. Her current practice location is 74 State St, Canton, New York. You can reach out to her office (for appointments etc.) via phone at (315) 261-9210.

Dr Desiree A Leboeuf is licensed to practice in New York (license number 022976-1) 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 1588999460.

Contact Information

Dr Desiree A Leboeuf, PHD
74 State St,
Canton, NY 13617-1026
(315) 261-9210
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Desiree A Leboeuf
GenderFemale
SpecialityPsychologist
Location74 State St, Canton, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588999460
  • Provider Enumeration Date: 10/09/2009
  • Last Update Date: 02/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628302023
  • Enrollment ID: I20190618002671

Medical Identifiers

Medical identifiers for Dr Desiree A Leboeuf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588999460NPI-NPPES
022976OtherNYLICENSE/CERTIFICATION #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) (* (Not Available))Secondary
103T00000XPsychologist 022976-1 (New York)Primary
103TF0200XPsychologist - Forensic (* (Not Available))Secondary
103TM1800XPsychologist - Intellectual & Developmental Disabilities (* (Not Available))Secondary
103TP2701XPsychologist - Group Psychotherapy (* (Not Available))Secondary

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 Desiree A Leboeuf allows following entities to bill medicare on her behalf.
Entity NameChe Senior Psychological Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023078219
PECOS PAC ID: 8022905314
Enrollment ID: O20040322001429
Entity NameKnapp Street Psychiatry, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043248776
PECOS PAC ID: 1153212998
Enrollment ID: O20040322001760

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 Desiree A Leboeuf 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 Desiree A Leboeuf, PHD
74 State St,
Canton, NY 13617-1026

Ph: (315) 261-9210		Dr Desiree A Leboeuf, PHD
74 State St,
Canton, NY 13617-1026

Ph: (315) 261-9210

Reviews and Comments


Psychologist in Canton, NY

Dr. Nancy Greene Cerio, PH.D.
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Phone: 315-854-6074    Fax: 315-714-3146
Pamela Lynn Valley, PH.D.
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Practice Location: 15 State St, Canton, NY 13617
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Dr. Kurt Stephen Halliday, PHD
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Practice Location: 5862 Us Highway 11 The Tallman House, Psychological Associates, Canton, NY 13617
Phone: 315-262-5355    
Dr. Arthur J. Clark, ED.D.
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Practice Location: 16 College St, Canton, NY 13617
Phone: 315-386-8584    Fax: 315-229-7423
Dr. Ralph M Johns, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617
Phone: 315-386-2167    Fax: 315-386-2435
Dr. William B. Burns, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 645 State Highway 310, Canton, NY 13617
Phone: 315-379-1396    

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