Dr Leonard Mark Gelman, MD - Medicare Family Medicine in Ballston Spa, NY

Dr Leonard Mark Gelman, MD is a medicare enrolled "Family Medicine" physician in Ballston Spa, New York. His current practice location is 20 Prospect St, Ballston Spa, New York. You can reach out to his office (for appointments etc.) via phone at (518) 885-6721.

Dr Leonard Mark Gelman is licensed to practice in New York (license number 166891) 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 1326066994.

Contact Information

Dr Leonard Mark Gelman, MD
20 Prospect St,
Ballston Spa, NY 12020-1367
(518) 885-6721
(518) 885-5412

Map and Direction




Physician's Profile

Full NameDr Leonard Mark Gelman
GenderMale
SpecialityFamily Medicine
Location20 Prospect St, Ballston Spa, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326066994
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 01/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7214976497
  • Enrollment ID: I20050427000687

Medical Identifiers

Medical identifiers for Dr Leonard Mark Gelman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326066994NPI-NPPES
08132OtherNYMVP
7024613OtherNYAETNA
10000746OtherNYCDPHP
691671OtherNYEMPIRE BC
00964874MedicaidNY
000401337001OtherNYBSNENY
200060OtherNYSENIOR WHOLE HEALTH
070302000096OtherNYFIDELIS
47333OtherNYGHI/HMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 166891 (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 Leonard Mark Gelman allows following entities to bill medicare on his behalf.
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218

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 Leonard Mark Gelman 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 Leonard Mark Gelman, MD
711 Troy Schenectady Rd Ste 203,
Latham, NY 12110-2461

Ph: (518) 782-3700
Dr Leonard Mark Gelman, MD
20 Prospect St,
Ballston Spa, NY 12020-1367

Ph: (518) 885-6721

Reviews and Comments


Family Medicine Doctors in Ballston Spa, NY

Mr. Morgan Joseph Vittengl, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2554 Rte 9, Ballston Spa, NY 12020
Phone: 518-899-5002    Fax: 518-899-5603
Dr. Kathleen Jacqueline Magner, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 510 Geyser Rd, Ballston Spa, NY 12020
Phone: 518-289-2720    
Dr. Abigail A Neighmond, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8 Medical Park Dr, Ballston Spa, NY 12020
Phone: 518-289-2775    
Karissa Scarabino, DO, MPH
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 990 State Route 67, Suite 101, Ballston Spa, NY 12020
Phone: 518-889-8450    Fax: 518-889-8451
Dr. Vincent Edwin Meyer Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 418 Geyser Rd, #14, Ballston Spa, NY 12020
Phone: 518-584-5331    Fax: 518-584-5332
Dr. Julia Malin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 418 Geyser Rd, #14, Ballston Spa, NY 12020
Phone: 518-584-5331    Fax: 518-584-5332

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.