Dr Jean Laroyce Bacon, PHD | |
83 E Main St, Bay Shore, NY 11706-8305 | |
(631) 666-5067 | |
(631) 593-5472 |
Full Name | Dr Jean Laroyce Bacon |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 32 Years |
Location | 83 E Main St, Bay Shore, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184846818 | NPI | - | NPPES |
02896748 | Medicaid | NY | |
A400010901 | Other | NY | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 045056-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Butterfly Lcsw Pc | 7719013218 | 2 |
Entity Name | Butterfly Lcsw Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023349297 PECOS PAC ID: 7719013218 Enrollment ID: O20100408000277 |
Mailing Address | Practice Location Address |
---|---|
Dr Jean Laroyce Bacon, PHD 34 Fire Road Dr, Bay Shore, NY 11706-3947 Ph: (631) 834-0388 | Dr Jean Laroyce Bacon, PHD 83 E Main St, Bay Shore, NY 11706-8305 Ph: (631) 666-5067 |
Meaghan Gould, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1444 5th Ave, Bay Shore, NY 11706 Phone: 631-844-5903 | |
Ellen Cinanni, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 260 Montauk Hwy, Ste-8, Bay Shore, NY 11706 Phone: 631-647-9009 | |
Ms. Ramona Anna Stills-johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 Fax: 631-665-1377 | |
Allison Morimando, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Courtland Dr, Bay Shore, NY 11706 Phone: 516-724-5113 | |
Nikita Renee Dow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 N Park Ave, Bay Shore, NY 11706 Phone: 631-223-9665 | |
Ellen Giarraputo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Ocean Ave, Bay Shore, NY 11706 Phone: 631-275-6823 | |
Debra Terry, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 W Main St, Suite 8, Bay Shore, NY 11706 Phone: 631-647-9009 |