Craig M Fetterman, DO is a medicare enrolled "Hospitalist" physician in Kenmore, New York. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Buffalo-niagara Hospitalists Llc and his current practice location is
2950 Elmwood Ave, Kenmore, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 634-8800.
Craig M Fetterman is licensed to practice in New York (license number 230757-1) 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 1902868383.
Physician's Profile
| Full Name | Craig M Fetterman |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 2950 Elmwood Ave, Kenmore, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Craig M Fetterman graduated from medical school in 2001
NPI Data:
- NPI Number: 1902868383
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577535996
- Enrollment ID: I20040806000947
Medical Identifiers
Medical identifiers for Craig M Fetterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902868383 | NPI | - | NPPES |
| 0412489 | Other | NY | INDEPENDENT HEALTH |
| 000527760001 | Other | NY | BC/BS |
| 0026827302 | Other | NY | UNIVERA |
| 02533062 | Medicaid | NY | |
| 041006000116 | Other | NY | FIDELIS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 230757 (New York) | Secondary |
| 208M00000X | Hospitalist | 230757-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Buffalo-niagara Hospitalists Llc | 3375789050 | 27 |
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. Craig M Fetterman allows following entities to bill medicare on his behalf.
| Entity Name | Buffalo-niagara Hospitalists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871830208
PECOS PAC ID: 3375789050
Enrollment ID: O20130425000195 |
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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. Craig M Fetterman 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 |
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Craig M Fetterman, DO
40 Main St,
Hamburg, NY 14075-4948
Ph: (716) 649-0887 | Craig M Fetterman, DO
2950 Elmwood Ave,
Kenmore, NY 14217-1304
Ph: (716) 634-8800 |
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