Mr Michael Christopher Secallus, FNP is a medicare enrolled "Nurse Practitioner" physician in Marathon, New York. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and his current practice location is
20 East Main Street, Marathon, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 849-3271.
Mr Michael Christopher Secallus is licensed to practice in New York (license number 339980) 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 1730787128.
Physician's Profile
| Full Name | Mr Michael Christopher Secallus |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 20 East Main Street, Marathon, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Michael Christopher Secallus graduated from medical school in 2005
NPI Data:
- NPI Number: 1730787128
- Provider Enumeration Date: 10/16/2020
- Last Update Date: 06/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284017948
- Enrollment ID: I20230123001649
Medical Identifiers
Medical identifiers for Mr Michael Christopher Secallus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730787128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | F339980-1 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 339980 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 230 |
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. Mr Michael Christopher Secallus allows following entities to bill medicare on his behalf.
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
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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. Mr Michael Christopher Secallus 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 |
Mr Michael Christopher Secallus, FNP 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Mr Michael Christopher Secallus, FNP 20 East Main Street, Marathon, NY 13803 Ph: (607) 849-3271 |
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