Dr Dana G Bush, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lake Ronkonkoma, New York. Her current practice location is
290 Hawkins Ave, Ste. B, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 431-1581.
Dr Dana G Bush is licensed to practice in New York (license number 013045) 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 1174640668.
Healthcare Provider's Profile
| Full Name | Dr Dana G Bush |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 290 Hawkins Ave, Lake Ronkonkoma, 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: 1174640668
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 05/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 2668486713
- Enrollment ID: I20060127000758
Medical Identifiers
Medical identifiers for Dr Dana G Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174640668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 013045 (New York) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 013045 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 013045 (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 Dana G Bush allows following entities to bill medicare on her behalf.
| Entity Name | Che Senior Psychological Services, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023078219
PECOS PAC ID: 8022905314
Enrollment ID: O20040322001429 |
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| Entity Name | Psychological Health Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043248776
PECOS PAC ID: 1153212998
Enrollment ID: O20040322001760 |
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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. Dr Dana G Bush 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 Dana G Bush, PHD
156 W 56th St Ste 1804,
New York, NY 10019-3878
Ph: (212) 851-8100 | Dr Dana G Bush, PHD
290 Hawkins Ave, Ste. B,
Lake Ronkonkoma, NY 11779-9600
Ph: (631) 431-1581 |
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