| Thomas Harry Herzog, MD | |
|
3 Lyon Place, Ogdensburg, NY 13669 | |
| (315) 713-6643 | |
| (866) 506-5573 |
| Full Name | Thomas Harry Herzog |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 52 Years |
| Location | 3 Lyon Place, Ogdensburg, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760435952 | NPI | - | NPPES |
| 03117948 | Medicaid | NY | |
| 041980000 | Medicaid | FL | |
| 03193937 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | ME46735 (Florida) | Secondary |
| 207X00000X | Orthopaedic Surgery | 255987 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carthage Area Hospital, Inc | Carthage, NY | Hospital |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Claxton-hepburn Medical Center | 8426966508 | 77 |
| Carthage Area Hospital Inc | 9931010485 | 125 |
| Entity Name | Claxton-hepburn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
| Entity Name | Carthage Area Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
| Entity Name | Claxton Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114164944 PECOS PAC ID: 0244389153 Enrollment ID: O20090526000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Harry Herzog, MD 3 Lyon Place, Ogdensburg, NY 13669 Ph: (315) 394-7542 | Thomas Harry Herzog, MD 3 Lyon Place, Ogdensburg, NY 13669 Ph: (315) 713-6643 |
Steven Mussett, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-713-6643 Fax: 866-506-5573 |