Theresa M Slocum, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Olean, New York. Her current practice location is
2765 Route 16 N, Olean, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 307-8842.
Theresa M Slocum is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174036701.
Healthcare Provider's Profile
Full Name | Theresa M Slocum |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 2765 Route 16 N, Olean, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174036701
- Provider Enumeration Date: 11/06/2017
- Last Update Date: 09/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991145526
- Enrollment ID: I20240430003417
Medical Identifiers
Medical identifiers for Theresa M Slocum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174036701 | NPI | - | NPPES |
1174036701 | Other | | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 088307 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Theresa M Slocum allows following entities to bill medicare on her behalf.
Entity Name | Talkspace Medical Services Ny Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790475556 PECOS PAC ID: 0143671966 Enrollment ID: O20240105002538 |
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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. Theresa M Slocum 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 |
Theresa M Slocum, LCSW 2765 Route 16 N, Olean, NY 14760-9747 Ph: (585) 307-8842 | Theresa M Slocum, LCSW 2765 Route 16 N, Olean, NY 14760-9747 Ph: (585) 307-8842 |
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