David Porter, NPP - Medicare Nurse Practitioner in Fayetteville, NY

David Porter, NPP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fayetteville, New York. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Josephs Hospital Health Center and his current practice location is 4000 Medical Center Dr, Ste 504, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 329-2650.

David Porter is licensed to practice in New York (license number 402419) 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 1386139285.

Contact Information

David Porter, NPP
4000 Medical Center Dr, Ste 504,
Fayetteville, NY 13066
(315) 329-2650
(315) 744-1925

Map and Direction




Provider's Profile

Full NameDavid Porter
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location4000 Medical Center Dr, Fayetteville, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Porter graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1386139285
  • Provider Enumeration Date: 06/25/2018
  • Last Update Date: 02/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688922339
  • Enrollment ID: I20180813001550

Medical Identifiers

Medical identifiers for David Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386139285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 625493 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402419 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital Health CenterSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Hospital Health Center923404332482

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. David Porter allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400

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. David Porter 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
David Porter, NPP
4000 Medical Center Dr, Suite 504,
Fayetteville, NY 13066

Ph: (315) 329-2650
David Porter, NPP
4000 Medical Center Dr, Ste 504,
Fayetteville, NY 13066

Ph: (315) 329-2650

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, NY

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Jayme K Schreck, NP
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Phone: 315-663-0500    Fax: 315-663-0514
Taylor Fisher,
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Mrs. Jenaye Karin Broe, FNP-C
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Practice Location: 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066
Phone: 315-663-0100    
Devyn Leigh Freeman, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 4000 Medical Center Dr, Unit 110, Fayetteville, NY 13066
Phone: 315-663-0100    

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.

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