Bruce W Mackellar, MD is a medicare enrolled "Family Medicine" physician in Canaseraga, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Western New York Medical Practice Pc and his current practice location is
12 N Church St, Canaseraga, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 545-2111.
Bruce W Mackellar is licensed to practice in New York (license number 176089) 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 1093769358.
Physician's Profile
| Full Name | Bruce W Mackellar |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 12 N Church St, Canaseraga, 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:
- Bruce W Mackellar attended and graduated from State University Of New York At Buffalo School Of Medicine in 1987
NPI Data:
- NPI Number: 1093769358
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 11/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456497056
- Enrollment ID: I20091013000473
Medical Identifiers
Medical identifiers for Bruce W Mackellar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093769358 | NPI | - | NPPES |
| 01254388 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 176089 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Western New York Medical Practice Pc | 3870767791 | 453 |
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. Bruce W Mackellar allows following entities to bill medicare on his behalf.
| Entity Name | Rochester General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644 |
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| Entity Name | Western New York Medical Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598 |
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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. Bruce W Mackellar 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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Bruce W Mackellar, MD
10869 State Route 36,
Dansville, NY 14437-9444
Ph: (585) 335-3100 | Bruce W Mackellar, MD
12 N Church St,
Canaseraga, NY 14822-9721
Ph: (607) 545-2111 |
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