Mr Cory R Shutts, | |
80 State Highway 310, Suite 1, Canton, NY 13617 | |
(315) 386-2167 | |
(315) 386-2435 |
Full Name | Mr Cory R Shutts |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 80 State Highway 310, Canton, 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 |
---|---|---|---|
1770908196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | United Helpers Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578559159 PECOS PAC ID: 2264408426 Enrollment ID: O20040908001427 |
Mailing Address | Practice Location Address |
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Mr Cory R Shutts, 80 State Highway 310, Suite 1, Canton, NY 13617 Ph: (315) 386-2167 | Mr Cory R Shutts, 80 State Highway 310, Suite 1, Canton, NY 13617 Ph: (315) 386-2167 |
Ms. Jacqueline Schwartz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5862 Sh 11, Canton, NY 13617 Phone: 315-379-0805 | |
Ms. Mavis A Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Meghan Vollmer, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 St Hwy 310 Ste 1, Canton, NY 13617 Phone: 315-386-2167 | |
Morolake Odetoyinbo, Counselor Medicare: Medicare Enrolled Practice Location: 23 Church St, Canton, NY 13617 Phone: 240-507-2585 | |
Ms. Ruthann M Matthews, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Ms. Nereida Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2167 Fax: 315-386-2435 | |
Mr. Bryan J Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 |