Dr Todd R Waldorf, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" provider in Crown Point, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. His current practice location is
17 Miller Drive, Crown Point, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 526-9996.
Dr Todd R Waldorf is licensed to practice in New York (license number 217602) 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 1770585101.
Healthcare Provider's Profile
| Full Name | Dr Todd R Waldorf |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 17 Miller Drive, Crown Point, 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:
- Dr Todd R Waldorf attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1998
NPI Data:
- NPI Number: 1770585101
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 06/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 9436138021
- Enrollment ID: I20040722000237
Medical Identifiers
Medical identifiers for Dr Todd R Waldorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770585101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 217602 (New York) | Secondary |
| 207Q00000X | Family Medicine | 217602 (New York) | Secondary |
| 208M00000X | Hospitalist | 217602 (New York) | Secondary |
| 208M00000X | Hospitalist | 032.0117498 (Vermont) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 217602 (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. Dr Todd R Waldorf allows following entities to bill medicare on his behalf.
| Provider Name | Michael Pm Pond |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1962472514
PECOS PAC ID: 6709854367
Enrollment ID: I20040921001002 |
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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. Dr Todd R Waldorf 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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Dr Todd R Waldorf, DO
17 Miller Drive,
Crown Point, NY 12928-2539
Ph: (518) 526-9996 | Dr Todd R Waldorf, DO
17 Miller Drive,
Crown Point, NY 12928-2539
Ph: (518) 526-9996 |
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