Sunny Patel, MD - Medicare Pediatrics in Canton, NY

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Sunny Patel, MD is a medicare enrolled "Pediatrics" physician in Canton, New York. His current practice location is 4 Commerce Ln, Canton, New York. You can reach out to his office (for appointments etc.) via phone at (315) 386-8191.

Sunny Patel is licensed to practice in New York (license number 300003) 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 1265883359.

Contact Information

Sunny Patel, MD
4 Commerce Ln,
Canton, NY 13617-3739
(315) 386-8191
Not Available

Map and Direction




Physician's Profile

Full NameSunny Patel
GenderMale
SpecialityPediatrics
Location4 Commerce Ln, Canton, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265883359
  • Provider Enumeration Date: 06/29/2016
  • Last Update Date: 09/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7012255979
  • Enrollment ID: I20190805000101

Medical Identifiers

Medical identifiers for Sunny Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265883359NPI-NPPES
05785951MedicaidNY
116352300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME157771 (Florida)Secondary
208000000XPediatrics 300003 (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. Sunny Patel allows following entities to bill medicare on his behalf.
Entity NameUnited Cerebral Palsy Association Of The North Country Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467432765
PECOS PAC ID: 8729078001
Enrollment ID: O20040518000102
Entity NameMassena Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972604460
PECOS PAC ID: 1456781491
Enrollment ID: O20200515000493

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. Sunny Patel 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
Sunny Patel, MD
4 Commerce Ln,
Canton, NY 13617-3739

Ph: (315) 386-8191		Sunny Patel, MD
4 Commerce Ln,
Canton, NY 13617-3739

Ph: (315) 386-8191

Reviews and Comments


Pediatrics Doctors in Canton, NY

Mrs. Kathleen M Terrence, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 80 East Main Street, Canton, NY 13617
Phone: 315-261-7180    Fax: 315-261-6330
Patty Rissacher, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 80 E Main St, Canton, NY 13617
Phone: 315-261-7180    Fax: 315-261-7183

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.