Chenango Memorial Hospital, Inc. is a medicare enrolled dental clinic (Family Medicine) in Norwich, New York. The current practice location for Chenango Memorial Hospital, Inc. is 179 N Broad St, Norwich, New York. For appointments, you can reach them via phone at
(607) 337-4111. The mailing address for Chenango Memorial Hospital, Inc. is 179 N Broad St, Norwich, New York and phone number is (607) 337-4111.
Chenango Memorial Hospital, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1467526889. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(607) 337-4111.
Dental Care Clinic Profile
| Full Name | Chenango Memorial Hospital, Inc. |
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| Speciality | Family Medicine |
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| Location | 179 N Broad St, Norwich, New York |
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| Authorized Official Name and Position | Drake Lamen (PRESIDENT & CEO) |
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| Authorized Official Contact | 6073374113 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Chenango Memorial Hospital, Inc.
179 N Broad St
Norwich
NY 13815-1019
Ph: (607) 337-4111 | Chenango Memorial Hospital, Inc.
179 N Broad St
Norwich
NY 13815-1019
Ph: (607) 337-4111 |
NPI Details:
| NPI Number | 1467526889 |
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| Provider Enumeration Date | 11/17/2006 |
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| Last Update Date | 01/05/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7517853633 |
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| Medicare Enrollment ID | O20240327003753 |
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Medical Identifiers
Medical identifiers for Chenango Memorial Hospital, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467526889 | NPI | - | NPPES |
| 330033 | Other | NY | MEDICARE ID |
| 0824000H | Other | | OPER CERT# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 2085B0100X | Radiology - Body Imaging | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Chenango Memorial Hospital, Inc. acts as a billing entity for following providers:
| Provider Name | Kabir Gandhi |
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| Provider Type | Practitioner - Diagnostic Radiology |
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| Provider Identifiers | NPI Number: 1629365275
PECOS PAC ID: 7810289048
Enrollment ID: I20200103001926 |
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