Ms Rachele A Pollack, LCSW-R, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Ithaca, New York. Her current practice location is
319 N Tioga St, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 269-0187.
Ms Rachele A Pollack is licensed to practice in New York (license number R028831) 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 1992795843.
Healthcare Provider's Profile
| Full Name | Ms Rachele A Pollack |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 319 N Tioga St, Ithaca, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992795843
- Provider Enumeration Date: 10/24/2005
- Last Update Date: 10/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971853755
- Enrollment ID: I20180829002905
Medical Identifiers
Medical identifiers for Ms Rachele A Pollack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992795843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2511 (New York) | Secondary |
| 1041S0200X | Social Worker - School | (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | R028831 (New York) | Primary |
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. Ms Rachele A Pollack 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 |
|---|
Ms Rachele A Pollack, LCSW-R, CASAC
304 Saranac Way,
Ithaca, NY 14850-9489
Ph: (607) 277-7363 | Ms Rachele A Pollack, LCSW-R, CASAC
319 N Tioga St,
Ithaca, NY 14850-4205
Ph: (607) 269-0187 |
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