Tracie Caccavale, PHD in Pine Bush, NY - Medicare Psychologist Provider

Tracie Caccavale, PHD is a medicare enrolled "Psychologist - Clinical" provider in Pine Bush, New York. Her current practice location is 78 Quannacut Rd, Pine Bush, New York. You can reach out to her office (for appointments etc.) via phone at (845) 873-0104.

Tracie Caccavale is licensed to practice in New York (license number 021270) 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 1720499148.

Contact Information

	Tracie Caccavale, PHD
	78 Quannacut Rd, Pine Bush, NY 12566-5431
	(845) 873-0104
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracie Caccavale
Gender	Female
Speciality	Psychologist - Clinical
Location	78 Quannacut Rd, Pine Bush, 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: 1720499148
Provider Enumeration Date: 05/20/2014
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4284029141
Enrollment ID: I20220312000003

Medical Identifiers

Medical identifiers for Tracie Caccavale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720499148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	021270 (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. Tracie Caccavale allows following entities to bill medicare on her behalf.

Entity Name	Senior Care Therapy Psychology Of New York Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437628203 PECOS PAC ID: 2264774793 Enrollment ID: O20190501002984

Entity Name	Vitae Health Medical New York Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568169134 PECOS PAC ID: 6901268820 Enrollment ID: O20230809002510

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. Tracie Caccavale 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
Tracie Caccavale, PHD 78 Quannacut Rd, Pine Bush, NY 12566-5431 Ph: (845) 873-0104	Tracie Caccavale, PHD 78 Quannacut Rd, Pine Bush, NY 12566-5431 Ph: (845) 873-0104

Reviews and Comments

Psychologist in Pine Bush, NY

Dr. Catherine Miriam Wanko-newman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 96 State Route 302, Pine Bush, NY 12566 Phone: 845-744-3966 Fax: 845-744-3966
Allyson A Havill, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 State Route 302 Ste 4, Pine Bush, NY 12566 Phone: 724-814-1492
Dr. Kelli Ann Meland-lewis, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 32 Schrempp Ln, Pine Bush, NY 12566 Phone: 845-744-5480

Tracie Caccavale, PHD - Medicare Psychologist in Pine Bush, NY