Mary Vandezande, LCSW in Kingston, NY - Medicare Clinical Social Worker Provider

Mary Vandezande, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kingston, New York. She graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Maverick Family Counseling Lcsw Pllc and her current practice location is 77 Cornell St, Kingston, New York. You can reach out to her office (for appointments etc.) via phone at (719) 290-8022.

Mary Vandezande is licensed to practice in New York (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1407368004.

Contact Information

	Mary Vandezande, LCSW
	77 Cornell St, Kingston, NY 12401-3648
	(719) 290-8022
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Vandezande
Gender	Female
Speciality	Clinical Social Worker
Experience	54 Years
Location	77 Cornell St, Kingston, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Vandezande graduated from medical school in 1970

NPI Data:

NPI Number: 1407368004
Provider Enumeration Date: 11/04/2017
Last Update Date: 11/04/2017

Medicare PECOS Information:

PECOS PAC ID: 7911915269
Enrollment ID: I20180213000189

Medical Identifiers

Medical identifiers for Mary Vandezande such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407368004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maverick Family Counseling Lcsw Pllc	1557597184	10

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. Mary Vandezande allows following entities to bill medicare on her behalf.

Entity Name	Maverick Family Counseling Lcsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104160738 PECOS PAC ID: 1557597184 Enrollment ID: O20131203002090

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. Mary Vandezande 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
Mary Vandezande, LCSW 33 Hone St, Kingston, NY 12401-6314 Ph: (719) 290-8022	Mary Vandezande, LCSW 77 Cornell St, Kingston, NY 12401-3648 Ph: (719) 290-8022

Reviews and Comments

Social Worker in Kingston, NY

Mary Alice Scully, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 Broadway, Kingston, NY 12401 Phone: 845-340-0244
Ms. Sharon M Koczaja, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Kukuk Ln, Kingston, NY 12401 Phone: 845-336-2616 Fax: 845-336-3302
Ms. Madeline Joy Rosensweet, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 261 Smith Ave, Kingston, NY 12401 Phone: 917-363-3675
Ms. Sue Rosenberg, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 239 Golden Hill Ln, Kingston, NY 12401 Phone: 845-340-4141
Ms. Margaret Martha Shlasko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 239 Golden Hill Ln, Kingston, NY 12401 Phone: 845-340-4167 Fax: 845-340-4094
Ms. Cheri Sciacca, LCSWR, CASAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 239 Golden Hill Ln, Ulster County Mental Health Department, Kingston, NY 12401 Phone: 845-340-4123
Jamal Davis Neal Jr., LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 168 Cornell St Ste 201, Kingston, NY 12401 Phone: 845-377-6511

Mary Vandezande, LCSW - Medicare Clinical Social Worker in Kingston, NY