Mr Bobby L Staley, LCSW - Medicare Counselor in Hollis, NY

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Mr Bobby L Staley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hollis, New York. He graduated from healthcare school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Staley Psychiatric Nurse Practitioner Pllc and his current practice location is 19605 Foothill Ave, Hollis, New York. You can reach out to his office (for appointments etc.) via phone at (917) 680-0082.

Mr Bobby L Staley is licensed to practice in New York (license number 083565) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649512112.

Contact Information

Mr Bobby L Staley, LCSW
19605 Foothill Ave,
Hollis, NY 11423-1413
(917) 680-0082
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Bobby L Staley
GenderMale
SpecialityClinical Social Worker
Experience16 Years
Location19605 Foothill Ave, Hollis, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Bobby L Staley graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1649512112
  • Provider Enumeration Date: 03/22/2013
  • Last Update Date: 02/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648691634
  • Enrollment ID: I20200529000576

Medical Identifiers

Medical identifiers for Mr Bobby L Staley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649512112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 23692 (New York)Secondary
1041C0700XSocial Worker - Clinical 083565 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Staley Psychiatric Nurse Practitioner Pllc79113280752

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 Bobby L Staley allows following entities to bill medicare on his behalf.
Entity NameNew Horizon Counseling Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366430563
PECOS PAC ID: 4880681295
Enrollment ID: O20040428000452
Entity NameStaley Psychiatric Nurse Practitioner Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316581267
PECOS PAC ID: 7911328075
Enrollment ID: O20200528002557

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 Bobby L Staley 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 AddressPractice Location Address
Mr Bobby L Staley, LCSW
19825 Dunton Ave, 2nd Fl,
Hollis, NY 11423-1409

Ph: (917) 680-0082		Mr Bobby L Staley, LCSW
19605 Foothill Ave,
Hollis, NY 11423-1413

Ph: (917) 680-0082

Reviews and Comments


Social Worker in Hollis, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.