Cheryl A Derosa, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Binghamton, New York. Her current practice location is
114 Clinton St, Binghamton, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 763-2749.
Cheryl A Derosa is licensed to practice in New York (license number 081645-1) 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 1386864742.
Healthcare Provider's Profile
| Full Name | Cheryl A Derosa |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 114 Clinton St, Binghamton, 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: 1386864742
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 7517182223
- Enrollment ID: I20180210000048
Medical Identifiers
Medical identifiers for Cheryl A Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386864742 | NPI | - | NPPES |
| 20264 | Other | NY | CASAC-T CERTIFICATE # |
| 081645-1 | Other | NY | UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20264 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 081645-1 (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. Cheryl A Derosa 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 |
|---|
Cheryl A Derosa, LCSW, CASAC
114 Clinton St,
Binghamton, NY 13905-2212
Ph: (607) 763-2749 | Cheryl A Derosa, LCSW, CASAC
114 Clinton St,
Binghamton, NY 13905-2212
Ph: (607) 763-2749 |
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