Dr Autumn Marie Gallegos Greenwich, PHD in Canandaigua, NY

Dr Autumn Marie Gallegos Greenwich, PHD is a medicare enrolled "Psychologist - Clinical" provider in Canandaigua, New York. Her current practice location is 400 Fort Hill Ave, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-6671.

Dr Autumn Marie Gallegos Greenwich is licensed to practice in New York (license number 019439) 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 1376891754.

Contact Information

	Dr Autumn Marie Gallegos Greenwich, PHD
	400 Fort Hill Ave, Canandaigua, NY 14424-1159
	(585) 275-6671
	(585) 273-1082

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Autumn Marie Gallegos Greenwich
Gender	Female
Speciality	Psychologist - Clinical
Location	400 Fort Hill Ave, Canandaigua, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376891754
Provider Enumeration Date: 08/16/2012
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6800110305
Enrollment ID: I20150109000746

Medical Identifiers

Medical identifiers for Dr Autumn Marie Gallegos Greenwich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376891754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	19439 (New York)	Secondary
103TC0700X	Psychologist - Clinical	019439 (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. Dr Autumn Marie Gallegos Greenwich allows following entities to bill medicare on her behalf.

Entity Name	University Of Rochester Department Of Psychiatry Clinical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276

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. Dr Autumn Marie Gallegos Greenwich 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
Dr Autumn Marie Gallegos Greenwich, PHD 400 Fort Hill Ave, Canandaigua, NY 14424-1159 Ph: (585) 275-6671	Dr Autumn Marie Gallegos Greenwich, PHD 400 Fort Hill Ave, Canandaigua, NY 14424-1159 Ph: (585) 275-6671

Reviews and Comments

Psychologist in Canandaigua, NY

Cynthia Poole, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257
Dr. Sarah Donovan, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5151 Fieldstone Trl, Canandaigua, NY 14424 Phone: 518-428-7430
Ms. Alysse Daansen Foster, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5415 County Road 30, Canandaigua, NY 14424 Phone: 585-394-1190
Caroline Pierpont Payne, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42 North Main Street, Canandaigua, NY 12180 Phone: 585-919-0018 Fax: 585-393-0014
Dr. Cory Alan Crane, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-353-3100
Diane Carol Hahn, Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442
Kimberley Mullen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-393-7613

Dr Autumn Marie Gallegos Greenwich, PHD - Medicare Psychologist in Canandaigua, NY