Louis Peter Decunzo Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Glens Falls, New York. His current practice location is
14 Hudson Avenue, Surgical Specialists Of Glens Falls Hospital, Glens Falls, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 926-5600.
Louis Peter Decunzo Jr is licensed to practice in New York (license number 201484) 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 1124000864.
Physician's Profile
| Full Name | Louis Peter Decunzo Jr |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 14 Hudson Avenue, Glens Falls, 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. |
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NPI Data:
- NPI Number: 1124000864
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 02/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375510191
- Enrollment ID: I20051220000443
Medical Identifiers
Medical identifiers for Louis Peter Decunzo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124000864 | NPI | - | NPPES |
| 01617601 | Medicaid | NY | |
| P00402831 | Other | NY | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 201484 (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. Louis Peter Decunzo Jr allows following entities to bill medicare on his behalf.
| Entity Name | Glens Falls Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336198217
PECOS PAC ID: 8325955974
Enrollment ID: O20031103000498 |
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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. Louis Peter Decunzo Jr 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 |
|---|
Louis Peter Decunzo Jr, MD
100 Park Street,
Glens Falls, NY 12801-4413
Ph: (518) 926-5924 | Louis Peter Decunzo Jr, MD
14 Hudson Avenue, Surgical Specialists Of Glens Falls Hospital,
Glens Falls, NY 12801-4443
Ph: (518) 926-5600 |
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