Ms Stacy Kanen-green, LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Smithtown, New York. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice New Horizon Counseling Center Inc and her current practice location is
11 Route 111, Smithtown, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 920-8300.
Ms Stacy Kanen-green is licensed to practice in New York (license number 12340) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598777955.
Healthcare Provider's Profile
| Full Name | Ms Stacy Kanen-green |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | 11 Route 111, Smithtown, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Stacy Kanen-green graduated from medical school in 2004
NPI Data:
- NPI Number: 1598777955
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6103929872
- Enrollment ID: I20070319000053
Medical Identifiers
Medical identifiers for Ms Stacy Kanen-green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598777955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 0444701 (New York) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12340 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New Horizon Counseling Center Inc | 4880681295 | 74 |
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. Ms Stacy Kanen-green allows following entities to bill medicare on her behalf.
| Entity Name | New Horizon Counseling Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366430563
PECOS PAC ID: 4880681295
Enrollment ID: O20040428000452 |
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| Entity Name | Senior Living Behavioral Health Lcsw Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083150056
PECOS PAC ID: 9931482247
Enrollment ID: O20170213000455 |
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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. Ms Stacy Kanen-green 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 |
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Ms Stacy Kanen-green, LCSW
7 Walker Ave,
Syosset, NY 11791-4028
Ph: (516) 884-2471 | Ms Stacy Kanen-green, LCSW
11 Route 111,
Smithtown, NY 11787-3712
Ph: (631) 920-8300 |
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