Dr Karyn M Hughes, DO - Medicare Pediatrics in Troy, NY

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Dr Karyn M Hughes, DO is a medicare enrolled "Pediatrics" physician in Troy, New York. Her current practice location is 258 Hoosick St, Suite 100, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 272-0232.

Dr Karyn M Hughes is licensed to practice in New York (license number 274363) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770809774.

Contact Information

Dr Karyn M Hughes, DO
258 Hoosick St, Suite 100,
Troy, NY 12180-2444
(518) 272-0232
(518) 272-4083

Map and Direction




Physician's Profile

Full NameDr Karyn M Hughes
GenderFemale
SpecialityPediatrics
Location258 Hoosick St, Troy, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770809774
  • Provider Enumeration Date: 04/15/2010
  • Last Update Date: 01/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254670649
  • Enrollment ID: I20190301000732

Medical Identifiers

Medical identifiers for Dr Karyn M Hughes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770809774NPI-NPPES
03876262MedicaidNY
440ZG1OtherNYEMPIRE BCBS
4902547OtherNYAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 274363 (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 Karyn M Hughes allows following entities to bill medicare on her behalf.
Entity NameCommunity Care Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922048370
PECOS PAC ID: 8022904473
Enrollment ID: O20080130000272

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 Karyn M Hughes 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 Karyn M Hughes, DO
711 Troy Schenectady Rd Ste 203,
Latham, NY 12110-2461

Ph: (518) 782-3700		Dr Karyn M Hughes, DO
258 Hoosick St, Suite 100,
Troy, NY 12180-2444

Ph: (518) 272-0232

Reviews and Comments


Pediatrics Doctors in Troy, NY

Garry Durosier, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1300 Massachusetts Ave, Troy, NY 12180
Phone: 518-272-7614    Fax: 518-272-4365
Dr. Marci Ann Reynolds, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 258 Hoosick St, Suite 106, Troy, NY 12180
Phone: 518-271-1331    Fax: 518-271-8712
Judy Fuschino, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 333 Hoosick St, Troy, NY 12180
Phone: 518-273-3732    Fax: 518-272-2993
Dr. Carol L Greenblatt, D.O.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 258 Hoosick St, Suite 100, Troy, NY 12180
Phone: 518-272-0232    Fax: 518-272-4083
Kevin C Albert, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 258 Hoosick St Ste 106, Troy, NY 12180
Phone: 518-273-3732    Fax: 518-272-2993
Dr. Donald Michael Bielawski, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 258 Hoosick St, Suite 106, Troy, NY 12180
Phone: 518-271-1331    Fax: 518-271-8712
Dr. Pamela Claire Walders, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 258 Hoosick St, Suite 106, Troy, NY 12180
Phone: 518-271-1331    Fax: 518-271-8712

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.