Mohawk Valley Podiatry Pc is a medicare enrolled "Podiatrist" provider in Fultonville, New York. Their current practice location is
19 Main St, Fultonville, New York. You can reach out to their office (for appointments etc.) via phone at
(518) 853-3999.
Mohawk Valley Podiatry Pc is licensed to practice in New York (license number N004755) and it also participates in the medicare program. Mohawk Valley Podiatry Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518078708.
Healthcare Provider's Profile
| Full Name | Mohawk Valley Podiatry Pc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 19 Main St, Fultonville, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518078708
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 12/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981799236
- Enrollment ID: O20071001000674
Medical Identifiers
Medical identifiers for Mohawk Valley Podiatry Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518078708 | NPI | - | NPPES |
| 54134 | Other | | MVP |
| P114421 | Other | NY | BLUE CROSS |
| 10000492 | Other | | CDPHP |
| 000448056003 | Other | NY | BLUE SHIELD |
| 01554094 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | N004755 (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.
Mohawk Valley Podiatry Pc acts as a billing entity for following providers:
| Provider Name | Robert C Dicaprio |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1144321548
PECOS PAC ID: 4082709332
Enrollment ID: I20071001000666 |
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| Provider Name | Cailin Nicole Makar |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1467845842
PECOS PAC ID: 7719255397
Enrollment ID: I20170623000187 |
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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. Mohawk Valley Podiatry Pc 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 |
|---|
Mohawk Valley Podiatry Pc
Po Box 427,
Fultonville, NY 12072-0427
Ph: (518) 853-3999 | Mohawk Valley Podiatry Pc
19 Main St,
Fultonville, NY 12072-0427
Ph: (518) 853-3999 |
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