Dr Lorenz Santos Angeles, PSYD in Marcy, NY - Medicare Psychologist Provider

Dr Lorenz Santos Angeles, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Marcy, New York. His current practice location is Po Box 5000, Marcy, New York. You can reach out to his office (for appointments etc.) via phone at (315) 768-1400.

Dr Lorenz Santos Angeles is licensed to practice in New York (license number 026287) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457190316.

Contact Information

	Dr Lorenz Santos Angeles, PSYD
	Po Box 5000, Marcy, NY 13403-5000
	(315) 768-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lorenz Santos Angeles
Gender	Male
Speciality	Psychologist - Clinical
Location	Po Box 5000, Marcy, 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: 1457190316
Provider Enumeration Date: 05/21/2024
Last Update Date: 12/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6507396579
Enrollment ID: I20250205002811

Medical Identifiers

Medical identifiers for Dr Lorenz Santos Angeles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457190316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	026287 (New York)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	026287 (New York)	Secondary
103TC0700X	Psychologist - Clinical	026287 (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 Lorenz Santos Angeles allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517

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 Lorenz Santos Angeles 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 Lorenz Santos Angeles, PSYD Po Box 5000, Marcy, NY 13403-5000 Ph: (315) 768-1400	Dr Lorenz Santos Angeles, PSYD Po Box 5000, Marcy, NY 13403-5000 Ph: (315) 768-1400

Reviews and Comments

Psychologist in Marcy, NY

Nicole Meuse, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9005 Old River Rd, Marcy, NY 13403 Phone: 978-314-2492
Danielle Dill, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6733 Fox Rd, Marcy, NY 13403 Phone: 518-538-3810
Ms. Karen Ann Peruzzi, CSW Psychologist Medicare: Medicare Enrolled Practice Location: 9116 River Rd, Marcy, NY 13403 Phone: 315-792-6628

Dr Lorenz Santos Angeles, PSYD - Medicare Psychologist in Marcy, NY