Kenneth M Bezio, LMHC | |
22 Us Oval Ste 218, Plattsburgh, NY 12903-5902 | |
(518) 561-1767 | |
Not Available |
Full Name | Kenneth M Bezio |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 22 Us Oval Ste 218, Plattsburgh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497130793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 008536 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | P97907 (New York) | Primary |
Entity Name | North Country Behavioral Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881121234 PECOS PAC ID: 2668744756 Enrollment ID: O20170824001497 |
Mailing Address | Practice Location Address |
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Kenneth M Bezio, LMHC Po Box 619, Peru, NY 12972-0619 Ph: (518) 618-2102 | Kenneth M Bezio, LMHC 22 Us Oval Ste 218, Plattsburgh, NY 12903-5902 Ph: (518) 561-1767 |
Katrina Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Sharron Ave, Plattsburgh, NY 12901 Phone: 518-561-1447 | |
Dr. Michele Marie Carpentier, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Baltimore Way, Plattsburgh, NY 12903 Phone: 518-563-7371 | |
Jared Croy, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Sharron Ave, Plattsburgh, NY 12901 Phone: 518-561-1447 Fax: 518-562-8812 | |
Sarah Olivia Yancey, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Us Oval Ste 218, Plattsburgh, NY 12903 Phone: 518-563-8000 | |
Skylar Hunyadi, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 8 Broad St, Plattsburgh, NY 12901 Phone: 518-825-1555 Fax: 518-825-1550 | |
Patrick Mccormick, CASC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Sharron Ave, Plattsburgh, NY 12901 Phone: 518-561-1447 | |
Mary Ellen Baughman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Ampersand Dr, Plattsburgh, NY 12901 Phone: 518-565-4020 Fax: 518-562-2783 |