Mr Kevan Lares Donaghy, LMSW in Syracuse, NY - Medicare Social Worker Provider

Mr Kevan Lares Donaghy, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Syracuse, New York. His current practice location is 650 Madison St, Second Floor, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 426-7694.

Mr Kevan Lares Donaghy is licensed to practice in New York (license number 081840) 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 1164732848.

Contact Information

	Mr Kevan Lares Donaghy, LMSW
	650 Madison St, Second Floor, Syracuse, NY 13210-2319
	(315) 426-7694
	(315) 426-6888

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevan Lares Donaghy
Gender	Male
Speciality	Social Worker - Clinical
Location	650 Madison St, Syracuse, 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: 1164732848
Provider Enumeration Date: 10/15/2010
Last Update Date: 10/15/2010

Medicare PECOS Information:

PECOS PAC ID: 5496001638
Enrollment ID: I20180702001333

Medical Identifiers

Medical identifiers for Mr Kevan Lares Donaghy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164732848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	081840 (New York)	Primary

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 Kevan Lares Donaghy 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 Kevan Lares Donaghy, LMSW 165 S Edwards Ave, Syracuse, NY 13206-2912 Ph: (315) 569-0339	Mr Kevan Lares Donaghy, LMSW 650 Madison St, Second Floor, Syracuse, NY 13210-2319 Ph: (315) 426-7694

Reviews and Comments

Social Worker in Syracuse, NY

Ross Loucy, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 620 Madison St, Syracuse, NY 13210 Phone: 315-426-7675
Andrea Rosa Vergara, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1045 James St, Syracuse, NY 13203 Phone: 315-472-4471
Katie Arney-rattray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Bellevue Ave, Syracuse, NY 13219 Phone: 315-288-6849
Britney Parente, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 James Street, Syracuse, NY 13206 Phone: 315-422-0300
Bryan Asher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 Erie Blvd W, Syracuse, NY 13204 Phone: 315-425-3478
Maryjane Quenneville, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Northern Lights Dr Ste 20, Syracuse, NY 13212 Phone: 315-326-1008
Jacqueline C Berry, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, Suite 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455

Mr Kevan Lares Donaghy, LMSW - Medicare Clinical Social Worker in Syracuse, NY