County of Sullivan

PAC ID

0143114439The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Home Health Agency, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice

Enrolled in

NY

Enrollments

4

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

5In 2 places

Enrollment records 4

These NPI records belong to the same enrolled organization. Each has its own page.

• County of Sullivan

  dba Sullivan County Department of Community Services

  • Community/Behavioral Health Agency
  • Liberty, NY
  • NPI 1417987165
• County of Sullivan

  • Ambulance
  • Monticello, NY
  • NPI 1669355715
• County of Sullivan

  dba Sullivan County Public Health Services

  • Home Health Agency
  • Liberty, NY
  • NPI 1710915400
• County of Sullivan

  dba Sullivan County Adult Care Center

  • Skilled Nursing Facility
  • Liberty, NY
  • NPI 1912904541
• Sullivan County Public Health Services

  • Home Health Agency
  • Liberty, NY
  • NPI 1770639445

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

• Quazi Al-Tariq II, MD

  • Psychiatry Physician
  • Middletown, NY
  • NPI 1124033808
• Zhaniizha Elaivii Khanii Kevii, LCSW

  • Clinical Social Worker
  • Liberty, NY
  • NPI 1114958386

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.