Dr Leo A Grafstein, MD - Medicare Urology in Plattsburgh, NY

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Dr Leo A Grafstein, MD is a medicare enrolled "Urology" physician in Plattsburgh, New York. He went to Northeastern Ohio University College Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Canton-potsdam Hospital and his current practice location is 15 Degrandpre Way, Plattsburgh, New York. You can reach out to his office (for appointments etc.) via phone at (518) 561-3900.

Dr Leo A Grafstein is licensed to practice in New York (license number 214007) 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 1093707895.

Contact Information

Dr Leo A Grafstein, MD
15 Degrandpre Way,
Plattsburgh, NY 12901-6449
(518) 561-3900
(518) 561-7843

Map and Direction




Physician's Profile

Full NameDr Leo A Grafstein
GenderMale
SpecialityUrology
Experience33 Years
Location15 Degrandpre Way, Plattsburgh, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Leo A Grafstein attended and graduated from Northeastern Ohio University College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1093707895
  • Provider Enumeration Date: 08/17/2005
  • Last Update Date: 06/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5092899211
  • Enrollment ID: I20100824000923

Medical Identifiers

Medical identifiers for Dr Leo A Grafstein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093707895NPI-NPPES
02090944MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 214007 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canton-potsdam HospitalPotsdam, NYHospital
Gouverneur HospitalGouverneur, NYHospital
Adirondack Medical CenterSaranac lake, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canton-potsdam Hospital6204827280199

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 Leo A Grafstein allows following entities to bill medicare on his behalf.
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameCanton-potsdam Medical Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760821417
PECOS PAC ID: 6507090883
Enrollment ID: O20130930000502

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 Leo A Grafstein 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 Leo A Grafstein, MD
36 Colligan Pt Rd,
Plattsburgh, NY 12901-7112

Ph: (518) 562-0787		Dr Leo A Grafstein, MD
15 Degrandpre Way,
Plattsburgh, NY 12901-6449

Ph: (518) 561-3900

Reviews and Comments


Urology Doctors in Plattsburgh, NY

Dr. Diego J Grinberg-funes, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 15 Degrandpre Way, Plattsburgh, NY 12901
Phone: 518-561-3900    Fax: 518-561-7843
Dr. John M Banko, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 15 Degrandpre Way, Plattsburgh, NY 12901
Phone: 518-561-3900    Fax: 518-561-7843

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.