Dr Philip Kaplan, MD - Medicare Family Practice in Manlius, NY

Dr Philip Kaplan, MD is a medicare enrolled "Family Medicine" physician in Manlius, New York. He went to State University Of Ny Upstate Medical University and graduated in 1968 and has 56 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairgrounds Family Physicians Pllc and his current practice location is 115 Fairgrounds Drive, Manlius, New York. You can reach out to his office (for appointments etc.) via phone at (315) 682-6165.

Dr Philip Kaplan is licensed to practice in New York (license number 1042381) 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 1033224738.

Contact Information

Dr Philip Kaplan, MD
115 Fairgrounds Drive,
Manlius, NY 13104
(315) 682-6165
(315) 682-7929

Map and Direction




Physician's Profile

Full NameDr Philip Kaplan
GenderMale
SpecialityFamily Practice
Experience56 Years
Location115 Fairgrounds Drive, Manlius, 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:
  • Dr Philip Kaplan attended and graduated from State University Of Ny Upstate Medical University in 1968
  NPI Data:
  • NPI Number: 1033224738
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 02/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1759464019
  • Enrollment ID: I20101006000853

Medical Identifiers

Medical identifiers for Dr Philip Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033224738NPI-NPPES
00597159MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1042381 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nascentia Health At HomeSyracuse, NYHome health agency
Hospice Of Central New YorkLiverpool, NYHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairgrounds Family Physicians Pllc35776468355

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 Philip Kaplan allows following entities to bill medicare on his behalf.
Entity NameFairgrounds Family Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174690440
PECOS PAC ID: 3577646835
Enrollment ID: O20080208000403

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 Philip Kaplan 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 Philip Kaplan, MD
115 Fairgrounds Drive,
Manlius, NY 13104

Ph: (315) 682-6165
Dr Philip Kaplan, MD
115 Fairgrounds Drive,
Manlius, NY 13104

Ph: (315) 682-6165

Reviews and Comments


Family Medicine Doctors in Manlius, NY

Lori L Anderson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 308 W Seneca St, Manlius, NY 13104
Phone: 315-682-5080    Fax: 315-682-8847
Dr. Jarrod Lawrence Bagatell, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104
Phone: 315-682-6165    Fax: 315-682-7929
Paraskos Araouzos, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Pewter Ln, Manlius, NY 13104
Phone: 315-682-6600    Fax: 315-682-0570
Dr. Henry M. Eisenberg, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 109 Gadwall Ln, Manlius, NY 13104
Phone: 315-682-0055    Fax: 315-682-0056
Dr. Karen Oliver Nardella, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104
Phone: 315-682-6165    Fax: 315-682-7929
Mary J Jackson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 308 W Seneca St, Manlius, NY 13104
Phone: 315-682-5080    Fax: 315-682-8847

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.