Larry Ira Novak, MD in Fayetteville, NY - Medicare Family Medicine

Larry Ira Novak, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, New York. His current practice location is 4104 Medical Center Dr, Suite 104, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 663-0059.

Larry Ira Novak is licensed to practice in New York (license number 129876) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750303913.

Contact Information

	Larry Ira Novak, MD
	4104 Medical Center Dr, Suite 104, Fayetteville, NY 13066-6635
	(315) 663-0059
	(315) 663-0123

Map and Direction

Physician's Profile

Full Name	Larry Ira Novak
Gender	Male
Speciality	Family Medicine
Location	4104 Medical Center Dr, Fayetteville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750303913
Provider Enumeration Date: 07/24/2006
Last Update Date: 01/09/2014

Medicare PECOS Information:

PECOS PAC ID: 9133144751
Enrollment ID: I20051012000427

Medical Identifiers

Medical identifiers for Larry Ira Novak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750303913	NPI	-	NPPES
00482435	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	129876 (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. Larry Ira Novak allows following entities to bill medicare on his behalf.

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. Larry Ira Novak 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
Larry Ira Novak, MD 5112 West Taft Road, Suite L, Liverpool, NY 13088 Ph: (315) 452-2500	Larry Ira Novak, MD 4104 Medical Center Dr, Suite 104, Fayetteville, NY 13066-6635 Ph: (315) 663-0059

Reviews and Comments

Family Medicine Doctors in Fayetteville, NY

Vijaya Seepana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878
Dr. Linda Nancy Robinson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7107 Thorntree Hill Dr, Fayetteville, NY 13066 Phone: 315-637-1201
Mark William Guelzow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066 Phone: 315-637-7878
Deann Lynn Cummings, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4104 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123
Allan M Birnbaum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878 Fax: 315-637-7870
Roshan Ghimire, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-637-7878
Austin Tsai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123

Larry Ira Novak, MD - Medicare Family Medicine in Fayetteville, NY