Dr Maria Elena Matala-sullivan, DO - Medicare Family Practice in Hamburg, NY

Dr Maria Elena Matala-sullivan, DO is a medicare enrolled "Family Medicine" physician in Hamburg, New York. She went to Philadelphia College Of Osteopathic Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Lakeshore Primary Care Associates, Llp and her current practice location is 4855 Camp Rd., Suite 100, Hamburg, New York. You can reach out to her office (for appointments etc.) via phone at (716) 646-1084.

Dr Maria Elena Matala-sullivan is licensed to practice in New York (license number 210175) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912940214.

Contact Information

Dr Maria Elena Matala-sullivan, DO
4855 Camp Rd., Suite 100,
Hamburg, NY 14075
(716) 646-1084
(716) 646-0786

Map and Direction




Physician's Profile

Full NameDr Maria Elena Matala-sullivan
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location4855 Camp Rd., Hamburg, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Maria Elena Matala-sullivan attended and graduated from Philadelphia College Of Osteopathic Medicine in 1994
  NPI Data:
  • NPI Number: 1912940214
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 07/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4385771534
  • Enrollment ID: I20100421000119

Medical Identifiers

Medical identifiers for Dr Maria Elena Matala-sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912940214NPI-NPPES
404544OtherNYWELLCARE
01874813MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 210175 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeshore Primary Care Associates, Llp993101370315

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 Maria Elena Matala-sullivan allows following entities to bill medicare on her behalf.
Entity NameLakeshore Primary Care Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225250525
PECOS PAC ID: 9931013703
Enrollment ID: O20031117000149

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 Maria Elena Matala-sullivan 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
Dr Maria Elena Matala-sullivan, DO
4855 Camp Rd., Suite 100,
Hamburg, NY 14075

Ph: (716) 646-1084
Dr Maria Elena Matala-sullivan, DO
4855 Camp Rd., Suite 100,
Hamburg, NY 14075

Ph: (716) 646-1084

Reviews and Comments


Family Medicine Doctors in Hamburg, NY

Dr. Robert J Nicaise, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6294 Sunnyside Dr, Hamburg, NY 14075
Phone: 716-941-7838    Fax: 520-303-0568
Nicholas Patrick Masyga, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 517 Sunset Dr, Hamburg, NY 14075
Phone: 716-646-2590    Fax: 716-646-2593
Robert La Duca, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4535 Southwestern Blvd, Unit 202, Hamburg, NY 14075
Phone: 716-662-2595    Fax: 716-662-0112
Dr. Sean William Maclean, D.O.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3040 Amsdell Rd, Hamburg, NY 14075
Phone: 716-646-6700    Fax: 716-646-8515
Steven Peter Herman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5893 Camp Rd, Suite 4, Hamburg, NY 14075
Phone: 716-649-7722    Fax: 716-649-7950
Dr. Michael T. Doldan, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5470 Camp Rd Ste 200, Hamburg, NY 14075
Phone: 716-646-2590    Fax: 716-646-2593
Leroy Wilson Mccune, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4650 Southwestern Blvd., Hamburg, NY 14075
Phone: 716-648-2450    

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.