Victoria Florence Petherick, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salamanca, New York. Her current practice location is
987 R C Hoag Dr, Salamanca, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 945-5894.
Victoria Florence Petherick is licensed to practice in New York (license number 098257) 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 1235750886.
Healthcare Provider's Profile
Full Name | Victoria Florence Petherick |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 987 R C Hoag Dr, Salamanca, 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. |
NPI Data:
- NPI Number: 1235750886
- Provider Enumeration Date: 05/05/2020
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072053685
- Enrollment ID: I20240910003569
Medical Identifiers
Medical identifiers for Victoria Florence Petherick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235750886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 111829 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 098257 (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. Victoria Florence Petherick allows following entities to bill medicare on her behalf.
Entity Name | Seneca Nation Of Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
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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. Victoria Florence Petherick 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 |
Victoria Florence Petherick, LCSW 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 | Victoria Florence Petherick, LCSW 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 |
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