Justin P Fedor, DO - Medicare Family Practice in Cicero, NY

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Justin P Fedor, DO is a medicare enrolled "Family Medicine" physician in Cicero, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2009 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Port City Emergency Physicians Llp and his current practice location is 5586 Legionnaire Dr Ste 1, Cicero, New York. You can reach out to his office (for appointments etc.) via phone at (315) 699-2837.

Justin P Fedor is licensed to practice in New York (license number 265947) 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 1982831483.

Contact Information

Justin P Fedor, DO
5586 Legionnaire Dr Ste 1,
Cicero, NY 13039-3504
(315) 699-2837
(315) 699-2734

Map and Direction




Physician's Profile

Full NameJustin P Fedor
GenderMale
SpecialityFamily Practice
Experience16 Years
Location5586 Legionnaire Dr Ste 1, Cicero, 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:
  • Justin P Fedor attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2009
  NPI Data:
  • NPI Number: 1982831483
  • Provider Enumeration Date: 06/11/2009
  • Last Update Date: 09/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6103075056
  • Enrollment ID: I20121009000440

Medical Identifiers

Medical identifiers for Justin P Fedor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982831483NPI-NPPES
265947OtherNYLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 265947 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oswego HospitalOswego, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Port City Emergency Physicians Llp034530191740

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. Justin P Fedor allows following entities to bill medicare on his behalf.
Entity NamePort City Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134370547
PECOS PAC ID: 0345301917
Enrollment ID: O20081202000420
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744
Entity NameCma Medical Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962985564
PECOS PAC ID: 7618214560
Enrollment ID: O20190130001697

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. Justin P Fedor 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
Justin P Fedor, DO
5586 Legionnaire Dr Ste 1,
Cicero, NY 13039-3504

Ph: (315) 699-2837		Justin P Fedor, DO
5586 Legionnaire Dr Ste 1,
Cicero, NY 13039-3504

Ph: (315) 699-2837

Reviews and Comments


Family Medicine Doctors in Cicero, NY

Mr. Harvey E Black, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5813 East Seymour St, Cicero, NY 13039
Phone: 315-699-2789    Fax: 315-699-6251
Paolo S Pastore, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 8393 Elta Drive, Cicero, NY 13039
Phone: 315-698-0290    Fax: 315-698-0291
Joy C Commisso, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5586 Legionnaire Dr Ste 1, Cicero, NY 13039
Phone: 315-699-2837    Fax: 315-699-2734
Caitlin Camara,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5586 Legionnaire Dr, Cicero, NY 13039
Phone: 315-699-2837    
Dennis J Nave, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 5586 Legionnaire Dr, Cicero, NY 13039
Phone: 315-699-2837    Fax: 315-699-2734
Eleni Kosmas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5586 Legionnaire Dr Ste 2, Cicero, NY 13039
Phone: 315-699-2837    Fax: 315-699-2734
Mrs. Nicole Goult, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7851 Brewerton Rd # 1, Cicero, NY 13039
Phone: 315-484-5809    

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.