Dr Lanny Theodore Difranza, MD - Medicare Pathology in New York, NY

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Dr Lanny Theodore Difranza, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in New York, New York. His current practice location is 622 W 168th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-2500.

Dr Lanny Theodore Difranza is licensed to practice in New York (license number 309149) 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 1073019725.

Contact Information

Dr Lanny Theodore Difranza, MD
622 W 168th St,
New York, NY 10032-3720
(212) 305-2500
Not Available

Map and Direction




Physician's Profile

Full NameDr Lanny Theodore Difranza
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location622 W 168th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073019725
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 04/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719225705
  • Enrollment ID: I20230203001131

Medical Identifiers

Medical identifiers for Dr Lanny Theodore Difranza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073019725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 309149 (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 Lanny Theodore Difranza allows following entities to bill medicare on his behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameMontefiore New Rochelle Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295163244
PECOS PAC ID: 0345474706
Enrollment ID: O20150310001611
Entity NameMontefiore Mount Vernon Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013345065
PECOS PAC ID: 7810122231
Enrollment ID: O20150423000849
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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 Lanny Theodore Difranza 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 Lanny Theodore Difranza, MD
622 W 168th St Dept Of,
New York, NY 10032-3720

Ph: (212) 305-2500		Dr Lanny Theodore Difranza, MD
622 W 168th St,
New York, NY 10032-3720

Ph: (212) 305-2500

Reviews and Comments


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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.