Ellen Marie Schurman, MD is a medicare enrolled "Pediatrics" physician in Baldwinsville, New York. Her current practice location is
3448 State Route 31, Baldwinsville, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 622-6595.
Ellen Marie Schurman is licensed to practice in New York (license number 222730) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053378489.
Physician's Profile
Full Name | Ellen Marie Schurman |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 3448 State Route 31, Baldwinsville, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053378489
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 09/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 2769487271
- Enrollment ID: I20060915000264
Medical Identifiers
Medical identifiers for Ellen Marie Schurman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053378489 | NPI | - | NPPES |
02187768 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 222730 (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. Ellen Marie Schurman allows following entities to bill medicare on her behalf.
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
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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. Ellen Marie Schurman 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 Address | Practice Location Address |
Ellen Marie Schurman, MD 3448 State Route 31, Baldwinsville, NY 13027-9231 Ph: (315) 622-6595 | Ellen Marie Schurman, MD 3448 State Route 31, Baldwinsville, NY 13027-9231 Ph: (315) 622-6595 |
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