Phyllis Ida Coachman, LCSWR is a
Counselor - Mental Health based in Brooklyn, New York. Phyllis Ida Coachman is licensed to practice in New York (license number R045079-1) and her current practice location is
30 3rd Ave, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 858-4626.
NPI number for Phyllis Ida Coachman is 1689764953 and her current mailing address is 30 Sky Ln, Staten Island, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689764953.
Healthcare Provider's Profile
| Full Name | Phyllis Ida Coachman |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 30 3rd Ave, Brooklyn, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689764953
- Provider Enumeration Date: 10/14/2006
- Last Update Date: 05/08/2024
Medical Identifiers
Medical identifiers for Phyllis Ida Coachman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689764953 | NPI | - | NPPES |
| N3L821 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
| 01917757 | Medicaid | NY | |
| 162839P | Other | NY | HIP |
| P2836968 | Other | NY | OXFORD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | R045079-1 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | R045079-1 (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. Phyllis Ida Coachman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phyllis Ida Coachman, LCSWR
30 Sky Ln,
Staten Island, NY 10304-4656
Ph: (718) 442-3072 | Phyllis Ida Coachman, LCSWR
30 3rd Ave,
Brooklyn, NY 11217-1822
Ph: (718) 858-4626 |
Reviews and Comments