Dr Edward Tracy Sall, MD,DDS - Medicare in Fayetteville, NY

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Dr Edward Tracy Sall, MD,DDS is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" provider in Fayetteville, New York. He went to State University Of Ny Upstate Medical University and graduated in 1987 and has 37 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Sd Diagnostics Inc, Advanced Ent Physicians And Surgeons Of Cny Pc, Sd Diagnostics Inc and his current practice location is 4000 Medical Center Dr., Ste 404, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 234-9865.

Dr Edward Tracy Sall is licensed to practice in New York (license number 181365) 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 1710961198.

Contact Information

Dr Edward Tracy Sall, MD,DDS
4000 Medical Center Dr., Ste 404,
Fayetteville, NY 13066
(315) 234-9865
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Edward Tracy Sall
GenderMale
SpecialityOtolaryngology
Experience37 Years
Location4000 Medical Center Dr., Fayetteville, 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 Edward Tracy Sall attended and graduated from State University Of Ny Upstate Medical University in 1987
  NPI Data:
  • NPI Number: 1710961198
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 08/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7214984467
  • Enrollment ID: I20090522000375

Medical Identifiers

Medical identifiers for Dr Edward Tracy Sall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710961198NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 104553 (California)Secondary
207YX0602XOtolaryngology - Otolaryngic Allergy 181365 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crouse HospitalSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sd Diagnostics Inc38707239508
Advanced Ent Physicians And Surgeons Of Cny Pc94362338482
Sd Diagnostics Inc38707239508

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 Edward Tracy Sall allows following entities to bill medicare on his behalf.
Entity NameAdvanced Ent Physicians & Surgeons Of Cny Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891827663
PECOS PAC ID: 9436233848
Enrollment ID: O20080225000236
Entity NameSd Diagnostics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487192779
PECOS PAC ID: 3870723950
Enrollment ID: O20230705000754

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 Edward Tracy Sall 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 Edward Tracy Sall, MD,DDS
5471 Kearny Villa Rd Ste 200,
San Diego, CA 92123-1143

Ph: (866) 801-9440		Dr Edward Tracy Sall, MD,DDS
4000 Medical Center Dr., Ste 404,
Fayetteville, NY 13066

Ph: (315) 234-9865

Reviews and Comments



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.