| Circare | |
|
620 Erie Blvd W Ste 302 Syracuse NY 13204-2463 | |
| (315) 472-7363 | |
| (315) 472-0084 |
| Full Name | Circare |
|---|---|
| Speciality | Case Management |
| Location | 620 Erie Blvd W Ste 302, Syracuse, New York |
| Authorized Official Name and Position | Scott Ebner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3154727363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Circare 620 Erie Blvd W Ste 302 Syracuse NY 13204-2463 Ph: (315) 472-7363 | Circare 620 Erie Blvd W Ste 302 Syracuse NY 13204-2463 Ph: (315) 472-7363 |
| NPI Number | 1235184235 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 09/16/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 0547367377 |
|---|---|
| Medicare Enrollment ID | O20111115000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235184235 | NPI | - | NPPES |
| 02382218 | Medicaid | NY | |
| 02994838 | Medicaid | NY | |
| 8044479A | Other | NY | CASE MANAGEMENT OMH-OPERATING CERTIFICATE |
| 02717628 | Medicaid | NY | |
| 8044025A | Other | NY | BEHAVIORAL HEALTH CLINIC-OMH OPERATING CERTIFICATE |
| 01212142 | Medicaid | NY | |
| BA1047 | Other | MCR PTAN |
| Provider Name | Paula Lynn Zebrowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598926537 PECOS PAC ID: 9739349994 Enrollment ID: I20120326000309 |
| Provider Name | Ashley Michelle Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033775408 PECOS PAC ID: 8820400906 Enrollment ID: I20201214002436 |
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