Charles J Fetterman, MD is a medicare enrolled "Ophthalmology" physician in Lockport, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Charles J Fetterman Md Pc and his current practice location is
70 Professional Parkway, Lockport, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 434-7505.
Charles J Fetterman is licensed to practice in New York (license number 214954) 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 1922038785.
Physician's Profile
| Full Name | Charles J Fetterman |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 27 Years |
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| Location | 70 Professional Parkway, Lockport, 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. |
Medical Education and Training:
- Charles J Fetterman attended and graduated from State University Of New York At Buffalo School Of Medicine in 1998
NPI Data:
- NPI Number: 1922038785
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 03/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103957832
- Enrollment ID: I20101007000815
Medical Identifiers
Medical identifiers for Charles J Fetterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922038785 | NPI | - | NPPES |
| 02246591 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 214954 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Charles J Fetterman Md Pc | 8527038652 | 2 |
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. Charles J Fetterman allows following entities to bill medicare on his behalf.
| Entity Name | Charles J Fetterman Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316004013 PECOS PAC ID: 8527038652 Enrollment ID: O20040727001456 |
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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. Charles J Fetterman 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 |
Charles J Fetterman, MD 70 Professional Parkway, Lockport, NY 14094-5366 Ph: (716) 434-7505 | Charles J Fetterman, MD 70 Professional Parkway, Lockport, NY 14094-5366 Ph: (716) 434-7505 |
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