Mr Gary L Short, LCSW-R in Bath, NY - Medicare Social Worker Provider

Mr Gary L Short, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Bath, New York. His current practice location is 7634 Campbell Creek Rd, Family Life Ministries, Bath, New York. You can reach out to his office (for appointments etc.) via phone at (607) 776-4151.

Mr Gary L Short is licensed to practice in New York (license number R02539-1) 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 1164674677.

Contact Information

	Mr Gary L Short, LCSW-R
	7634 Campbell Creek Rd, Family Life Ministries, Bath, NY 14810-7612
	(607) 776-4151
	(607) 776-6929

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gary L Short
Gender	Male
Speciality	Social Worker - Clinical
Location	7634 Campbell Creek Rd, Bath, 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: 1164674677
Provider Enumeration Date: 10/15/2008
Last Update Date: 10/15/2008

Medicare PECOS Information:

PECOS PAC ID: 2163897620
Enrollment ID: I20240810000101

Medical Identifiers

Medical identifiers for Mr Gary L Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164674677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	R02539-1 (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. Mr Gary L Short allows following entities to bill medicare on his behalf.

Entity Name	Family Life Ministries Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124772637 PECOS PAC ID: 7618342171 Enrollment ID: O20230414000652

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. Mr Gary L Short 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
Mr Gary L Short, LCSW-R 7815 County Route 13, Bath, NY 14810-7904 Ph: (607) 776-4151	Mr Gary L Short, LCSW-R 7634 Campbell Creek Rd, Family Life Ministries, Bath, NY 14810-7612 Ph: (607) 776-4151

Reviews and Comments

Social Worker in Bath, NY

Wendy Kesel, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-776-6577
Tyler Heflin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-664-2255
Ms. Jane Marie Aniskevich, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Building 32, Bath Va Medical Center, Bath, NY 14810 Phone: 607-664-4512
Mr. Bruce Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4513
John C Gould, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000
David Schenck, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-776-6577

Mr Gary L Short, LCSW-R - Medicare Clinical Social Worker in Bath, NY