Albany Med Division Of Community Endocrinology - Medicare Primary Care in Albany, NY

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Albany Med Division Of Community Endocrinology is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) in Albany, New York. The current practice location for Albany Med Division Of Community Endocrinology is 1365 Washington Ave, Suite 300, Albany, New York. For appointments, you can reach them via phone at (518) 489-4704. The mailing address for Albany Med Division Of Community Endocrinology is 1275 Broadway # Mc106, Menands, New York and phone number is (518) 262-9705.

Albany Med Division Of Community Endocrinology is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1508280389. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (518) 489-4704.

Contact Information

Albany Med Division Of Community Endocrinology
1365 Washington Ave
Suite 300
Albany
NY 12206-1098
(518) 489-4704
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAlbany Med Division Of Community Endocrinology
SpecialityInternal Medicine
Location1365 Washington Ave, Albany, New York
Authorized Official Name and PositionVincent Verdile (DEAN ALBANY MEDICAL COLLEGE)
Authorized Official Contact5182626008
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Albany Med Division Of Community Endocrinology
1275 Broadway # Mc106
Menands
NY 12204-2638

Ph: (518) 262-9705		Albany Med Division Of Community Endocrinology
1365 Washington Ave
Suite 300
Albany
NY 12206-1098

Ph: (518) 489-4704

NPI Details:

NPI Number1508280389
Provider Enumeration Date02/13/2014
Last Update Date04/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1759293111
Medicare Enrollment IDO20140617000093

Medical Identifiers

Medical identifiers for Albany Med Division Of Community Endocrinology such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508280389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Albany Med Division Of Community Endocrinology acts as a billing entity for following providers:
Provider NameMichael F Walker
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1659378842
PECOS PAC ID: 2264400340
Enrollment ID: I20040917000556
Provider NameLoretta C Grimm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558321844
PECOS PAC ID: 0244219673
Enrollment ID: I20050106000992
Provider NameLori Wilson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1376627133
PECOS PAC ID: 7618929076
Enrollment ID: I20050214000474
Provider NameLawrence W Robinson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1386641645
PECOS PAC ID: 0547205593
Enrollment ID: I20050621001079
Provider NameMark L Fruiterman
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1609879709
PECOS PAC ID: 5092628446
Enrollment ID: I20050929000135
Provider NameRobert S Busch
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1457358715
PECOS PAC ID: 1456264803
Enrollment ID: I20050929000164
Provider NameGregg F Gerety
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1881691152
PECOS PAC ID: 5991618340
Enrollment ID: I20050929000228
Provider NameGary Bakst
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1275530537
PECOS PAC ID: 0446163893
Enrollment ID: I20050929000307
Provider NameSharon T Tietgens
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1518964881
PECOS PAC ID: 4587699483
Enrollment ID: I20050929000330
Provider NameJay G Watsky
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1972500247
PECOS PAC ID: 7517870967
Enrollment ID: I20050929000363
Provider NameSamer S Eldeiry
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1326045691
PECOS PAC ID: 9436062882
Enrollment ID: I20050929000384
Provider NameLisa A Lambert
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1043259377
PECOS PAC ID: 9436194826
Enrollment ID: I20060713000055
Provider NameEileen F Hogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962587345
PECOS PAC ID: 2264576925
Enrollment ID: I20100218000229
Provider NameErik A Cohen
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1841204435
PECOS PAC ID: 5597808931
Enrollment ID: I20110426000341
Provider NameMichael Dolen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1588960165
PECOS PAC ID: 3870776685
Enrollment ID: I20110607000243
Provider NameCarrie B Carsello
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184880171
PECOS PAC ID: 8224208566
Enrollment ID: I20120906000347
Provider NameRandi L Daniels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548674278
PECOS PAC ID: 4183840176
Enrollment ID: I20140729000082
Provider NameMolly K Trevail
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669874921
PECOS PAC ID: 3971725680
Enrollment ID: I20141113001432
Provider NameWiqar A Farooqi
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1477956415
PECOS PAC ID: 0941522627
Enrollment ID: I20141208001852
Provider NameMolly M Klapp
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1386017408
PECOS PAC ID: 6002193604
Enrollment ID: I20170509001752
Provider NameAlysaa A Phyars
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1952743262
PECOS PAC ID: 2567757313
Enrollment ID: I20180828002988
Provider NameJason Cutler
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1154716991
PECOS PAC ID: 3870911928
Enrollment ID: I20200922001632
Provider NameKayon Forrest-gongasingh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720723307
PECOS PAC ID: 8022494210
Enrollment ID: I20220926000504
Provider NameWilfred Victorina
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1083660351
PECOS PAC ID: 6800784588
Enrollment ID: I20230731001584
Provider NameKelly Whelan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245917483
PECOS PAC ID: 3779933551
Enrollment ID: I20231219003516

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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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