Alejandro Penaloza, in Woodside, NY - Medicare Counselor Provider

Alejandro Penaloza, is a medicare enrolled "Counselor - Mental Health" provider in Woodside, New York. His current practice location is 6714 41st Ave, Woodside, New York. You can reach out to his office (for appointments etc.) via phone at (718) 458-4243.

Alejandro Penaloza is licensed to practice in New York (license number 010829) 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 1407495088.

Contact Information

	Alejandro Penaloza,
	6714 41st Ave, Woodside, NY 11377-8128
	(718) 458-4243
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alejandro Penaloza
Gender	Male
Speciality	Counselor - Mental Health
Location	6714 41st Ave, Woodside, 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: 1407495088
Provider Enumeration Date: 12/31/2019
Last Update Date: 12/29/2020

Medicare PECOS Information:

PECOS PAC ID: 5991154965
Enrollment ID: I20231215002164

Medical Identifiers

Medical identifiers for Alejandro Penaloza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407495088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	010829 (New York)	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. Alejandro Penaloza allows following entities to bill medicare on his behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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. Alejandro Penaloza 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
Alejandro Penaloza, 6714 41st Ave, Woodside, NY 11377-8128 Ph: () -	Alejandro Penaloza, 6714 41st Ave, Woodside, NY 11377-8128 Ph: (718) 458-4243

Reviews and Comments

Counselor in Woodside, NY

Alana Maria Vicentini, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4135 67th St, Woodside, NY 11377 Phone: 718-424-9292
Besa Brija, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6714 41st Ave, Woodside, NY 11377 Phone: 929-418-0304
Miss Sneha Bipin Patel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4902 Queens Blvd Ste 2, Woodside, NY 11377 Phone: 929-296-6790
Adia Morton-allman, MS. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 6002 Queens Blvd, Lower Level, Woodside, NY 11377 Phone: 646-266-0900
Rachel Valencia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6002 Roosevelt Ave, Woodside, NY 11377 Phone: 646-256-4145
Mrs. Elaine Cristina Corcoran, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4248 65th Pl Apt 2, Woodside, NY 11377 Phone: 516-660-4890
Noelle Smith, CASAC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6207 Woodside Ave, 4th Floor, Woodside, NY 11377 Phone: 718-898-5085 Fax: 718-898-5582

Alejandro Penaloza, - Medicare Counselor in Woodside, NY