Antoinette Tristan, LMHC in Ithaca, NY - Medicare Counselor Provider

Antoinette Tristan, LMHC is a medicare enrolled "Counselor" provider in Ithaca, New York. Her current practice location is 127 W State St, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at (607) 273-7494.

Antoinette Tristan 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 1205204401.

Contact Information

	Antoinette Tristan, LMHC
	127 W State St, Ithaca, NY 14850-5474
	(607) 273-7494
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Antoinette Tristan
Gender	Female
Speciality	Counselor
Location	127 W 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: 1205204401
Provider Enumeration Date: 09/04/2015
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2264885326
Enrollment ID: I20240125002007

Medical Identifiers

Medical identifiers for Antoinette Tristan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205204401	NPI	-	NPPES
1336163963	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (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. Antoinette Tristan allows following entities to bill medicare on her behalf.

Entity Name	Family & Childrens Service Of Ithaca Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124176680 PECOS PAC ID: 0446249957 Enrollment ID: O20040510001270

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. Antoinette Tristan 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
Antoinette Tristan, LMHC 127 W State St, Ithaca, NY 14850-5474 Ph: (607) 273-7494	Antoinette Tristan, LMHC 127 W State St, Ithaca, NY 14850-5474 Ph: (607) 273-7494

Reviews and Comments

Counselor in Ithaca, NY

Peter Dodge, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 334 W State St, Ithaca, NY 14850 Phone: 607-273-5500 Fax: 607-273-1277
Andrea Arden Gerding, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 201 E Green St Fl 5, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280
Mrs. Amy Abbasov, M.ED. LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Besemer Ln, Ithaca, NY 14850 Phone: 806-236-4156
Stacy Cangelosi Mike, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Suite 500, Ithaca, NY 14850 Phone: 607-274-6288
Mr. Allen John Agnew, CASAC NYS 13121 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Suite 500, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280
Vanessa Hendrickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St Ste 500, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280
Mr. Colin Andrew Polnitsky, MSW INTERN Counselor Medicare: Medicare Enrolled Practice Location: 201 E Green St, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280

Antoinette Tristan, LMHC - Medicare Counselor in Ithaca, NY