Dr Timothy S Derenzo, MD - Medicare Family Practice in Albany, NY

Dr Timothy S Derenzo, MD is a medicare enrolled "Family Medicine" physician in Albany, New York. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Samaritan Hospital Of Troy, New York and his current practice location is 63 Shaker Rd, Suite G02, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 449-5352.

Dr Timothy S Derenzo is licensed to practice in New York (license number 244547) 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 1629272059.

Contact Information

Dr Timothy S Derenzo, MD
63 Shaker Rd, Suite G02,
Albany, NY 12204-1030
(518) 449-5352
(518) 449-5364

Map and Direction




Physician's Profile

Full NameDr Timothy S Derenzo
GenderMale
SpecialityFamily Practice
Experience21 Years
Location63 Shaker Rd, Albany, 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 Timothy S Derenzo graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1629272059
  • Provider Enumeration Date: 06/11/2007
  • Last Update Date: 05/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7416044284
  • Enrollment ID: I20071026000373

Medical Identifiers

Medical identifiers for Dr Timothy S Derenzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629272059NPI-NPPES
02918981MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 244547 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan HospitalTroy, NYHospital
St Peter's HospitalAlbany, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samaritan Hospital Of Troy, New York6507770070200

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 Timothy S Derenzo allows following entities to bill medicare on his behalf.
Entity NameSamaritan Hospital Of Troy, New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782

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 Timothy S Derenzo 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 Timothy S Derenzo, MD
Po Box 14890,
Albany, NY 12212-4890

Ph: (518) 525-5634
Dr Timothy S Derenzo, MD
63 Shaker Rd, Suite G02,
Albany, NY 12204-1030

Ph: (518) 449-5352

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.