Carlos Oblena Dator Jr, MD - Medicare Family Practice in Oswego, NY

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Carlos Oblena Dator Jr, MD is a medicare enrolled "Family Medicine" physician in Oswego, New York. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Carmen Bautista Dator, Md Pc, Oswego Hospital and his current practice location is 110 W 6th St, Oswego, New York. You can reach out to his office (for appointments etc.) via phone at (315) 349-5511.

Carlos Oblena Dator Jr is licensed to practice in New York (license number 281672) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114287158.

Contact Information

Carlos Oblena Dator Jr, MD
110 W 6th St,
Oswego, NY 13126-2507
(315) 349-5511
Not Available

Map and Direction




Physician's Profile

Full NameCarlos Oblena Dator Jr
GenderMale
SpecialityFamily Practice
Experience13 Years
Location110 W 6th St, Oswego, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlos Oblena Dator Jr graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1114287158
  • Provider Enumeration Date: 05/24/2012
  • Last Update Date: 03/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163732116
  • Enrollment ID: I20151104000984

Medical Identifiers

Medical identifiers for Carlos Oblena Dator Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114287158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 281672 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At Home (liverpool)Liverpool, NYHome health agency
Oswego HospitalOswego, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carmen Bautista Dator, Md Pc46886177642
Oswego Hospital498168604542

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. Carlos Oblena Dator Jr allows following entities to bill medicare on his behalf.
Entity NameOswego Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871678458
PECOS PAC ID: 4981686045
Enrollment ID: O20040602001275
Entity NameCarmen Bautista Dator, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912066242
PECOS PAC ID: 4688617764
Enrollment ID: O20050609000362
Entity NamePons Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457732554
PECOS PAC ID: 9931416187
Enrollment ID: O20150921001165

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. Carlos Oblena Dator Jr 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 AddressPractice Location Address
Carlos Oblena Dator Jr, MD
110 W 6th St,
Oswego, NY 13126-2507

Ph: (315) 349-5511		Carlos Oblena Dator Jr, MD
110 W 6th St,
Oswego, NY 13126-2507

Ph: (315) 349-5511

Reviews and Comments


Family Medicine Doctors in Oswego, NY

Dr. Linda D Mandanas, MD
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Practice Location: 144 W 5th St, Oswego, NY 13126
Phone: 315-342-1765    Fax: 315-342-1742
Dr. Corliss Adam Varnum, M.D.
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Practice Location: 33 E Schuyler St, Oswego, NY 13126
Phone: 315-343-6974    Fax: 315-342-3625
Dr. Adaora S Udekwu, MD
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Practice Location: 110 W 6th St, Oswego, NY 13126
Phone: 315-349-5733    
Ms. Alison E Fluman, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 110 W 6th St, Oswego, NY 13126
Phone: 315-349-5511    
Dr. Micheal D Stephens, M.D.
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Practice Location: 110 W Utica St, Oswego, NY 13126
Phone: 315-342-2024    Fax: 315-343-5317
Dr. Lynn E. Miller, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1 Rudolph Road,, Suny Oswego, Building 10, Mary Walker Health Center, Oswego, NY 13126
Phone: 315-312-4100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.