Mr Mitchell H Herzog, LCSW-R in Ithaca, NY - Medicare Social Worker Provider

Mr Mitchell H Herzog, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Ithaca, New York. His current practice location is 401 E State St, Ste 201, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 277-7079.

Mr Mitchell H Herzog is licensed to practice in New York (license number R-071369) 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 1184801391.

Contact Information

	Mr Mitchell H Herzog, LCSW-R
	401 E State St, Ste 201, Ithaca, NY 14850-4400
	(607) 277-7079
	(607) 257-2919

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mitchell H Herzog
Gender	Male
Speciality	Social Worker - Clinical
Location	401 E State St, Ithaca, 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: 1184801391
Provider Enumeration Date: 01/30/2008
Last Update Date: 04/18/2018

Medicare PECOS Information:

PECOS PAC ID: 0547241226
Enrollment ID: I20040527001152

Medical Identifiers

Medical identifiers for Mr Mitchell H Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184801391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	R-071369 (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 Mitchell H Herzog 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 Mitchell H Herzog, LCSW-R 401 E State St, Ste 201, Ithaca, NY 14850-4400 Ph: (607) 277-7079	Mr Mitchell H Herzog, LCSW-R 401 E State St, Ste 201, Ithaca, NY 14850-4400 Ph: (607) 277-7079

Reviews and Comments

Social Worker in Ithaca, NY

Thomas Andrew Schlee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5350 Iradell Rd, Ithaca, NY 14850 Phone: 607-279-6105
Ms. Susan C Lerner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 W Seneca St, Suite 200c, Ithaca, NY 14850 Phone: 607-227-3177
Ms. Jennifer Leanne Greene, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 North Tioga Street, Suite Number 5, Ithaca, NY 14850 Phone: 607-342-3654
Melissa Naylor, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Ithaca, NY 14850 Phone: 607-274-6200
Marilyn Patterson, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 N Cayuga St, Ithaca, NY 14850 Phone: 607-273-7494 Fax: 607-273-7484
Janessa Ciaschi, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Cinema Dr, Ithaca, NY 14850 Phone: 607-272-2371
Ariana Olsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Ithaca, NY 14850 Phone: 607-319-6927

Mr Mitchell H Herzog, LCSW-R - Medicare Clinical Social Worker in Ithaca, NY