Carol M Leo, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Saratoga Springs, New York. Her current practice location is
211 Church St, Cramer House, Saratoga Springs, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 584-9030.
Carol M Leo is licensed to practice in New York (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 1710916150.
Healthcare Provider's Profile
| Full Name | Carol M Leo |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 211 Church St, Saratoga Springs, 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. |
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NPI Data:
- NPI Number: 1710916150
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 11/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 3173528395
- Enrollment ID: I20060921000608
Medical Identifiers
Medical identifiers for Carol M Leo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710916150 | NPI | - | NPPES |
| 00639496 | Medicaid | NY | |
| 03199997 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 070305-1 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | (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. Carol M Leo allows following entities to bill medicare on her behalf.
| Entity Name | Adirondack Samaritan Counseling Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437213097
PECOS PAC ID: 2466446117
Enrollment ID: O20040414000510 |
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| Entity Name | Saratoga County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700912367
PECOS PAC ID: 7810983012
Enrollment ID: O20040422001361 |
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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. Carol M Leo 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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Carol M Leo, LCSW-R
111 Dixon Rd,
Queensbury, NY 12804-2132
Ph: (518) 361-0289 | Carol M Leo, LCSW-R
211 Church St, Cramer House,
Saratoga Springs, NY 12866-1003
Ph: (518) 584-9030 |
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