Dr James Lawrence Dolph, MD - Medicare Plastic Surgery in Albany, NY

Dr James Lawrence Dolph, MD is a medicare enrolled "Plastic Surgery" physician in Albany, New York. His current practice location is 319 S Manning Blvd, Suite 103, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 482-7874.

Dr James Lawrence Dolph is licensed to practice in New York (license number 172323-1) 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 1811086614.

Contact Information

Dr James Lawrence Dolph, MD
319 S Manning Blvd, Suite 103,
Albany, NY 12208-1742
(518) 482-7874
(518) 482-7987

Map and Direction




Physician's Profile

Full NameDr James Lawrence Dolph
GenderMale
SpecialityPlastic Surgery
Location319 S Manning Blvd, Albany, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811086614
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799850863
  • Enrollment ID: I20080825000398

Medical Identifiers

Medical identifiers for Dr James Lawrence Dolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811086614NPI-NPPES
01048746MedicaidNY
040426005318OtherNYFIDELIS
19200OtherNYMVP
10000502OtherNYCDPHP
000405145001OtherNYBLUE SHIELD NENY
89E321OtherNYEMPIRE BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 172323-1 (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 James Lawrence Dolph allows following entities to bill medicare on his behalf.
Entity NameAlbany Medical College
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629008537
PECOS PAC ID: 1759293111
Enrollment ID: O20031125000386

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 James Lawrence Dolph 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 James Lawrence Dolph, MD
319 S Manning Blvd, Suite 103,
Albany, NY 12208-1742

Ph: (518) 482-7874
Dr James Lawrence Dolph, MD
319 S Manning Blvd, Suite 103,
Albany, NY 12208-1742

Ph: (518) 482-7874

Reviews and Comments


Plastic Surgery Doctors in Albany, NY

Dr. Francis J Cullen, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5 Palisades Dr, Suite 110, Albany, NY 12205
Phone: 518-482-7880    Fax: 518-482-7882
Dr. David M Tauber, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5 Ulenski Dr, Albany, NY 12205
Phone: 518-724-2444    Fax: 518-724-2445

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.