Delaware County
A Medicare group practice based in Delhi, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1254327380), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1254327380
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
- Enrolled in
- NY
- Enrollments
- 2
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040422001601 | NY | Part B Supplier - Clinic/Group Practice | 1740375385 |
| O20211005000399 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1154689495 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Delaware County
- Public Health or Welfare Agency
- Delhi, NY
- NPI 1154689495
-
Delaware County
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walton, NY
- NPI 1740375385
Practice locations
- Walton, NY1
- Delhi, NY1
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (9).
-
Sara M Cirba, MPA, LMSW
- Social Worker
- Walton, NY
- NPI 1336692136
-
Katelyn Clare, LMSW
- Clinical Social Worker
- Binghamton, NY
- NPI 1609303882
-
Erica Crook, LMSW
- Social Worker
- Walton, NY
- NPI 1427691872
-
Douglas D Elston, L.C.S.W.-R
- Clinical Social Worker
- Walton, NY
- NPI 1215045570
-
Jennifer L Grigoli, PMHNP, DNS
- Psychiatric/Mental Health Nurse Practitioner
- Oneonta, NY
- NPI 1053026120
-
Jennifer Isaacson
- Social Worker
- Buffalo, NY
- NPI 1376817502
-
Miguel A Martinez, MSW
- Counselor
- Buffalo, NY
- NPI 1558432864
-
Amy Elizabeth Melson, LMSW
- Clinical Social Worker
- Walton, NY
- NPI 1831860832
-
Crystal Moore, LMSW
- Clinical Social Worker
- Norwich, NY
- NPI 1356887657
-
Fern J. Thomas, M.D.
- Psychiatry Physician
- Oneonta, NY
- NPI 1063401792
-
Shasta Danielle Treadway, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Salt Point, NY
- NPI 1245953959
-
Edward Arthur Wilson, LCSW-R
- Clinical Social Worker
- Walton, NY
- NPI 1326133752
-
Dara Yastrzemski, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Walton, NY
- NPI 1962153809
Sources for this page
- 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.