Dr Edward Randolph Noble Jr, MD - Medicare Radiology in Liverpool, NY

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Dr Edward Randolph Noble Jr, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Liverpool, New York. His current practice location is 5100 W Taft Rd, Suite 2a, Liverpool, New York. You can reach out to his office (for appointments etc.) via phone at (315) 452-2555.

Dr Edward Randolph Noble Jr is licensed to practice in New York (license number 199779) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063404820.

Contact Information

Dr Edward Randolph Noble Jr, MD
5100 W Taft Rd, Suite 2a,
Liverpool, NY 13088-3807
(315) 452-2555
(315) 452-2559

Map and Direction




Physician's Profile

Full NameDr Edward Randolph Noble Jr
GenderMale
SpecialityRadiology - Neuroradiology
Location5100 W Taft Rd, Liverpool, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063404820
  • Provider Enumeration Date: 08/18/2005
  • Last Update Date: 09/13/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0345221362
  • Enrollment ID: I20040526000759

Medical Identifiers

Medical identifiers for Dr Edward Randolph Noble Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063404820NPI-NPPES
00555500MedicaidNY
02224500MedicaidNY
0565508MedicaidNY
00555440MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 199779 (New York)Primary

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 Randolph Noble Jr allows following entities to bill medicare on his behalf.
Entity NameMagnetic Diagnostic Resources Of Central New York Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831196054
PECOS PAC ID: 5799689162
Enrollment ID: O20031126000473
Entity NameProspect Hill Radiology Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235122425
PECOS PAC ID: 6204806862
Enrollment ID: O20040729001373
Entity NameSt. Josephs Imaging Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093709180
PECOS PAC ID: 5991775553
Enrollment ID: O20040729001400

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 Randolph Noble Jr 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 Randolph Noble Jr, MD
4567 Crossroads Park Dr, 2nd Floor,
Liverpool, NY 13088-3589

Ph: (315) 295-2100		Dr Edward Randolph Noble Jr, MD
5100 W Taft Rd, Suite 2a,
Liverpool, NY 13088-3807

Ph: (315) 452-2555

Reviews and Comments


Radiology Doctors in Liverpool, NY

Dr. Gary D Leavitt, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088
Phone: 315-452-2555    Fax: 315-452-2559
Dr. Jonathan M. Jacobs, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088
Phone: 315-452-2555    Fax: 315-452-2559
Dr. John P Teixeira, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088
Phone: 315-452-2555    Fax: 315-452-2559
Dr. Sherwin C Pollock, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088
Phone: 315-452-2555    Fax: 315-452-2559
Dr. Carmelita V Sanpedro, M.D
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088
Phone: 315-452-2555    Fax: 315-452-2559
Dr. Wilfred Carey Iii, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088
Phone: 315-452-2555    Fax: 315-452-2559

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.