Mr Derek J Wittman, LMHC-D (NY),LPC (PA) in Baldwinsville, NY

Mr Derek J Wittman, LMHC-D (NY),LPC (PA) is a medicare enrolled "Counselor - Mental Health" provider in Baldwinsville, New York. His current practice location is 3737 Theodolite Dr, Baldwinsville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 281-9488.

Mr Derek J Wittman is licensed to practice in New York (license number 008137) 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 1952746141.

Contact Information

	Mr Derek J Wittman, LMHC-D (NY),LPC (PA)
	3737 Theodolite Dr, Baldwinsville, NY 13027-9346
	(315) 281-9488
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Derek J Wittman
Gender	Male
Speciality	Counselor - Mental Health
Location	3737 Theodolite Dr, Baldwinsville, 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: 1952746141
Provider Enumeration Date: 05/02/2013
Last Update Date: 01/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8022460765
Enrollment ID: I20240118002804

Medical Identifiers

Medical identifiers for Mr Derek J Wittman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952746141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	008137 (New York)	Primary
101YP2500X	Counselor - Professional	PC013511 (Pennsylvania)	Secondary

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. Mr Derek J Wittman allows following entities to bill medicare on his behalf.

Entity Name	Psychological Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922109578 PECOS PAC ID: 7416860572 Enrollment ID: O20040317000828

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. Mr Derek J Wittman 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
Mr Derek J Wittman, LMHC-D (NY),LPC (PA) 3737 Theodolite Dr, Baldwinsville, NY 13027-9346 Ph: (315) 743-8050	Mr Derek J Wittman, LMHC-D (NY),LPC (PA) 3737 Theodolite Dr, Baldwinsville, NY 13027-9346 Ph: (315) 281-9488

Reviews and Comments

Counselor in Baldwinsville, NY

Miss Doreen Faber, LCSW-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3070 Belgium Rd, Baldwinsville, NY 13027 Phone: 315-638-0979 Fax: 315-638-0835
Heather Anne Wilsey, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 W Genesee St, Baldwinsville, NY 13027 Phone: 315-876-6842 Fax: 315-682-3856
Mrs. Rebecca Lynn Croucher, ACSW, CSW-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 W Genesee St, Baldwinsville, NY 13027 Phone: 315-638-7643
Janet Eileen Petrou, Counselor Medicare: Medicare Enrolled Practice Location: 3182 Samantha Dr, Baldwinsville, NY 13027 Phone: 315-373-1397
Alexandra Halstead, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 Village Blvd S, Baldwinsville, NY 13027 Phone: 315-214-1278
Mr. Paolo Gregory Cesari, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Oswego St, Baldwinsville, NY 13027 Phone: 315-725-6976
Mrs. Jilleen Elizabeth Gorham, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Idlewood Blvd, Baldwinsville, NY 13027 Phone: 315-559-4303

Mr Derek J Wittman, LMHC-D (NY),LPC (PA) - Medicare Counselor in Baldwinsville, NY