Miss Kiersten Elizabeth Ettinger, LMHC in Staten Island, NY

Miss Kiersten Elizabeth Ettinger, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Staten Island, New York. Her current practice location is 65 Columbus Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 448-3210.

Miss Kiersten Elizabeth Ettinger is licensed to practice in New York (license number 013777) 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 1326802869.

Contact Information

	Miss Kiersten Elizabeth Ettinger, LMHC
	65 Columbus Ave, Staten Island, NY 10304-4325
	(718) 448-3210
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Kiersten Elizabeth Ettinger
Gender	Female
Speciality	Counselor - Mental Health
Location	65 Columbus Ave, Staten Island, 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: 1326802869
Provider Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 2961945357
Enrollment ID: I20240613001413

Medical Identifiers

Medical identifiers for Miss Kiersten Elizabeth Ettinger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326802869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	013777 (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. Miss Kiersten Elizabeth Ettinger allows following entities to bill medicare on her behalf.

Entity Name	True North Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659883486 PECOS PAC ID: 7012194806 Enrollment ID: O20171229000536

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. Miss Kiersten Elizabeth Ettinger 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
Miss Kiersten Elizabeth Ettinger, LMHC 65 Columbus Ave, Staten Island, NY 10304-4325 Ph: (718) 448-3210	Miss Kiersten Elizabeth Ettinger, LMHC 65 Columbus Ave, Staten Island, NY 10304-4325 Ph: (718) 448-3210

Reviews and Comments

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Miss Kiersten Elizabeth Ettinger, LMHC - Medicare Counselor in Staten Island, NY