| Dr Timothy S Derenzo, MD | |
|
63 Shaker Rd, Suite G02, Albany, NY 12204-1030 | |
| (518) 449-5352 | |
| (518) 449-5364 |
| Full Name | Dr Timothy S Derenzo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 63 Shaker Rd, Albany, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629272059 | NPI | - | NPPES |
| 02918981 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 244547 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Hospital | Troy, NY | Hospital |
| St Peter's Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samaritan Hospital Of Troy, New York | 6507770070 | 200 |
| Entity Name | Samaritan Hospital Of Troy, New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
| Mailing Address | Practice 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 |
Kendra Ann Bushart, FNP-BC Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 62 Hackett Blvd, Albany, NY 12209 Phone: 518-434-2244 | |
Dr. Terrence Flannery, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Patroon Creek Blvd, Albany, NY 12206 Phone: 518-641-3217 Fax: 518-641-3209 | |
Pascuala C Reyes, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5000 | |
Dr. Lorelei A Michels, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Pine West Plz Ste 310, Albany, NY 12205 Phone: 518-763-3312 Fax: 838-625-5830 | |
Katherine Lillian Degni, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1662 Central Ave, Albany, NY 12205 Phone: 518-240-1456 | |
David A Robinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, @ St. Peter's Hospital Er Dept., Albany, NY 12208 Phone: 518-525-1324 Fax: 518-383-4223 | |
Dr. Peter Alexander Vellis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Washington Ave, Albany, NY 12222 Phone: 518-442-5461 Fax: 518-442-5444 |