Dr William N Pelton, MD - Medicare Internal Medicine in Plattsburgh, NY

Dr William N Pelton, MD is a medicare enrolled "Internal Medicine" physician in Plattsburgh, New York. He went to University Of Vermont College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice William Pelton, Md Pc and his current practice location is 164 Boynton Ave, Ste 103, Plattsburgh, New York. You can reach out to his office (for appointments etc.) via phone at (518) 561-1122.

Dr William N Pelton is licensed to practice in New York (license number 19375401) 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 1184696841.

Contact Information

Dr William N Pelton, MD
164 Boynton Ave, Ste 103,
Plattsburgh, NY 12901-1241
(518) 561-1122
(518) 562-3476

Map and Direction




Physician's Profile

Full NameDr William N Pelton
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location164 Boynton Ave, 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 William N Pelton attended and graduated from University Of Vermont College Of Medicine in 1990
  NPI Data:
  • NPI Number: 1184696841
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 09/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1254391022
  • Enrollment ID: I20041015000381

Medical Identifiers

Medical identifiers for Dr William N Pelton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184696841NPI-NPPES
01561233MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 19375401 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hcr / Hcr Home Care Chha (plattsburgh)Plattsburgh, NYHome health agency
Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NYHospital
Adirondack Medical CenterSaranac lake, NYHospital

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 William N Pelton 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 NameWilliam Pelton, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033842042
PECOS PAC ID: 8426426263
Enrollment ID: O20221129000126

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 William N Pelton 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 William N Pelton, MD
164 Boynton Ave, Ste 103,
Plattsburgh, NY 12901-1241

Ph: (518) 561-1122
Dr William N Pelton, MD
164 Boynton Ave, Ste 103,
Plattsburgh, NY 12901-1241

Ph: (518) 561-1122

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.