Ithacamed is a
Internal Medicine - Endocrinology, Diabetes & Metabolism based in Ithaca, New York. Ithacamed is licensed to practice in New York (license number 187756) and their current practice location is
404 N Cayuga St, Ithaca, New York. It can be reached at their office (for appointments etc.) via phone at
(607) 277-0969.
NPI number for Ithacamed is 1609903004 and their current mailing address is 404 N Cayuga St, Ithaca, New York. Ithacamed
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609903004.
Healthcare Provider's Profile
| Full Name | Ithacamed |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
|---|
| Location | 404 N Cayuga St, Ithaca, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609903004
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 06/23/2015
Medical Identifiers
Medical identifiers for Ithacamed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609903004 | NPI | - | NPPES |
| 03172718 | Medicaid | NY | |
| 01904865 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 0012301 (New York) | Secondary |
| 207Q00000X | Family Medicine | F332267-1 (New York) | Secondary |
| 207Q00000X | Family Medicine | F339752 (New York) | Secondary |
| 207R00000X | Internal Medicine | 187756 (New York) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 187756 (New York) | Primary |
| 207V00000X | Obstetrics & Gynecology | F360284-1 (New York) | Secondary |
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. Ithacamed is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ithacamed
404 N Cayuga St,
Ithaca, NY 14850-4219
Ph: (607) 277-0969 | Ithacamed
404 N Cayuga St,
Ithaca, NY 14850-4219
Ph: (607) 277-0969 |
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