Slocum Dickson Medical Group Pllc - Medicare Primary Care in New Hartford, NY

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Slocum Dickson Medical Group Pllc is a medicare enrolled primary clinic (Clinic/center) in New Hartford, New York. The current practice location for Slocum Dickson Medical Group Pllc is 1729 Burrstone Rd, New Hartford, New York. For appointments, you can reach them via phone at (315) 798-1700. The mailing address for Slocum Dickson Medical Group Pllc is 1729 Burrstone Rd, New Hartford, New York and phone number is (315) 798-1700.

Slocum Dickson Medical Group Pllc is licensed to practice in New York (license number 47440). The clinic also participates in the medicare program and its NPI number is 1285625996. 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 (315) 798-1700.

Contact Information

Slocum Dickson Medical Group Pllc
1729 Burrstone Rd
New Hartford
NY 13413-1001
(315) 798-1700
(315) 798-1707

Map and Direction


Primary Care Clinic Profile

Full NameSlocum Dickson Medical Group Pllc
SpecialityClinic/Center
Location1729 Burrstone Rd, New Hartford, New York
Authorized Official Name and PositionStephen D. Eadline (PRESIDENT)
Authorized Official Contact3157981700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Slocum Dickson Medical Group Pllc
1729 Burrstone Rd
New Hartford
NY 13413-1001

Ph: (315) 798-1700		Slocum Dickson Medical Group Pllc
1729 Burrstone Rd
New Hartford
NY 13413-1001

Ph: (315) 798-1700

NPI Details:

NPI Number1285625996
Provider Enumeration Date11/02/2005
Last Update Date06/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5799778510
Medicare Enrollment IDO20040407000427

Medical Identifiers

Medical identifiers for Slocum Dickson Medical Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285625996NPI-NPPES
02995013MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 47440 (New York)Primary
291U00000XClinical Medical Laboratory (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Slocum Dickson Medical Group Pllc acts as a billing entity for following providers:
Provider NameIvan Antonevich
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1043256118
PECOS PAC ID: 6709778392
Enrollment ID: I20040329000106
Provider NameChristopher M Alinea
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538162789
PECOS PAC ID: 2567367881
Enrollment ID: I20040414000454
Provider NameJameel H Arastu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1417944638
PECOS PAC ID: 7315842648
Enrollment ID: I20040414000822
Provider NameMichelle L Chambrone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295728939
PECOS PAC ID: 0446245724
Enrollment ID: I20040416000508
Provider NameUte H Dreiner
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1114914421
PECOS PAC ID: 4981509221
Enrollment ID: I20040417000079
Provider NameStephen D Eadline
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053303453
PECOS PAC ID: 7618872953
Enrollment ID: I20040417000124
Provider NameMaria Barbara Gesualdo
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1407840614
PECOS PAC ID: 2466447529
Enrollment ID: I20040417000450
Provider NameDaniel C Goodman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780678896
PECOS PAC ID: 0345145686
Enrollment ID: I20040419000509
Provider NameCelesta M Hunsiker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043204258
PECOS PAC ID: 1658366505
Enrollment ID: I20040419001345
Provider NameWade T Hunt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356339592
PECOS PAC ID: 3870498116
Enrollment ID: I20040419001397
Provider NameThomas John
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770577884
PECOS PAC ID: 4789589037
Enrollment ID: I20040419001634
Provider NameSteven H Lagrant
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477540789
PECOS PAC ID: 5092708743
Enrollment ID: I20040421000138
Provider NameThang Q Le
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679567887
PECOS PAC ID: 7012812365
Enrollment ID: I20040421000284
Provider NameRalph W Lott
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174511315
PECOS PAC ID: 2163418658
Enrollment ID: I20040421000826
Provider NameTatyana Antonevich
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1528054368
PECOS PAC ID: 5597752212
Enrollment ID: I20040426001797
Provider NameSultana Razia
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1669466884
PECOS PAC ID: 5496650756
Enrollment ID: I20040427001236
Provider NameDana M Zacharewicz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417941634
PECOS PAC ID: 4688579956
Enrollment ID: I20040428000994
Provider NameParvez Asmat
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679521777
PECOS PAC ID: 7719978550
Enrollment ID: I20040520001523
Provider NameJohn M Ellis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962464818
PECOS PAC ID: 7719978121
Enrollment ID: I20040524000048
Provider NameRobert A Meier
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730137738
PECOS PAC ID: 5597756965
Enrollment ID: I20040524000527
Provider NameJohn J Picano
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1912955915
PECOS PAC ID: 4082605829
Enrollment ID: I20040527000077
Provider NameJohn R Restivo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710935713
PECOS PAC ID: 9537140306
Enrollment ID: I20040527000212
Provider NameNancy Ann Shaheen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194781658
PECOS PAC ID: 1951382779
Enrollment ID: I20040527000593
Provider NameSuresh Rayancha
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1447251335
PECOS PAC ID: 3274512256
Enrollment ID: I20040714000858
Provider NameJohn P Sullivan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1942294095
PECOS PAC ID: 2062485543
Enrollment ID: I20040813000317
Provider NameShelly L Hearn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134113343
PECOS PAC ID: 8729052071
Enrollment ID: I20040823000765
Provider NameNajmus Saqib
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134110281
PECOS PAC ID: 4284600859
Enrollment ID: I20040903001104
Provider NameKaren Rounds Cleary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922104546
PECOS PAC ID: 5294775185
Enrollment ID: I20050510000958
Provider NameShannon M Sullivan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194716605
PECOS PAC ID: 6002840808
Enrollment ID: I20050921000623
Provider NameDaniel William Grace
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1376508846
PECOS PAC ID: 3577540566
Enrollment ID: I20060407000512
Provider NameKwaku A Amankwah
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982653457
PECOS PAC ID: 7618980814
Enrollment ID: I20060713000098
Provider NameTimothy H Lafont
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497745228
PECOS PAC ID: 8921008459
Enrollment ID: I20070108000357
Provider NameAnthony Mangano
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447216924
PECOS PAC ID: 4082711213
Enrollment ID: I20070522000465
Provider NameNathaniel S Gould
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1164469755
PECOS PAC ID: 8325131501
Enrollment ID: I20070904000443
Provider NameNiranjan Marino Selvarajah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548256399
PECOS PAC ID: 7113987355
Enrollment ID: I20071218000172
Provider NameSteven Alan Rudd
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932248184
PECOS PAC ID: 2668403049
Enrollment ID: I20080616000010
Provider NameLev Goldiner
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710146733
PECOS PAC ID: 6901978550
Enrollment ID: I20080626000555
Provider NameMichael J Mcnulty
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1013177450
PECOS PAC ID: 3072662576
Enrollment ID: I20090512000344
Provider NameHelen Dolan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104098631
PECOS PAC ID: 9638229313
Enrollment ID: I20090618000540
Provider NameDayal D Raja
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1003937715
PECOS PAC ID: 3072666064
Enrollment ID: I20090810000263
Provider NameStephane Mulligan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184762262
PECOS PAC ID: 5799812103
Enrollment ID: I20100415000984
Provider NameManzurul A Sikder
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1598885741
PECOS PAC ID: 9335271352
Enrollment ID: I20100709000386
Provider NameTaryn Rio
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245473800
PECOS PAC ID: 7113041302
Enrollment ID: I20100824001291
Provider NameMark M Ainsworth
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255318861
PECOS PAC ID: 1153535323
Enrollment ID: I20101028001528
Provider NameRaphael J Alcuri
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184616039
PECOS PAC ID: 6608850243
Enrollment ID: I20110204000553
Provider NameSyed Saeed Zaman
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1295729143
PECOS PAC ID: 0547441610
Enrollment ID: I20110222000992
Provider NameElizabeth M Cooley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871748020
PECOS PAC ID: 6406038520
Enrollment ID: I20110310000932
Provider NameMatthew A Mittiga
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164686192
PECOS PAC ID: 6608052378
Enrollment ID: I20110513000063
Provider NameMohsin Maqsood Syed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437291689
PECOS PAC ID: 8628136934
Enrollment ID: I20120402000137
Provider NameBrian T Burke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386770527
PECOS PAC ID: 2860660032
Enrollment ID: I20120618000425
Provider NameJeffrey T Kwasniewski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972938900
PECOS PAC ID: 1557591526
Enrollment ID: I20140313001487
Provider NameAileen G Callan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982043386
PECOS PAC ID: 2567693633
Enrollment ID: I20140403000133
Provider NameRohin Mehta
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1306067517
PECOS PAC ID: 8123277118
Enrollment ID: I20140625000333
Provider NameWilliam S Gaetano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447543673
PECOS PAC ID: 9739323940
Enrollment ID: I20140826000983
Provider NameScott M Peplinski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861456444
PECOS PAC ID: 4486634896
Enrollment ID: I20150114001928
Provider NameApurva B Shah
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1174881387
PECOS PAC ID: 0244545135
Enrollment ID: I20150821012889
Provider NameAida Durmisevic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295115129
PECOS PAC ID: 3375850589
Enrollment ID: I20150921003246
Provider NameJulia A Bramley
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1669841375
PECOS PAC ID: 4688975857
Enrollment ID: I20151211000888
Provider NameChristopher P Powers
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1497098792
PECOS PAC ID: 4082905252
Enrollment ID: I20160617000875
Provider NameKenneth J Visalli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093081358
PECOS PAC ID: 2264724798
Enrollment ID: I20160701001274
Provider NameAlexander Robert Harris
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437562451
PECOS PAC ID: 1658598537
Enrollment ID: I20180622002071
Provider NameMridula A Jacob
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1023491701
PECOS PAC ID: 6507116324
Enrollment ID: I20180829000449
Provider NameMarwan Mohammad Al-haddad
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1518301712
PECOS PAC ID: 4587925110
Enrollment ID: I20181107000522
Provider NameMohammad-ali Yazdani Abyaneh
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1508252784
PECOS PAC ID: 5193061273
Enrollment ID: I20190801001045
Provider NameEthan Kent Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851952675
PECOS PAC ID: 8527397850
Enrollment ID: I20190911000977
Provider NameErin Margaret Krupski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306407127
PECOS PAC ID: 0941539274
Enrollment ID: I20190911001129
Provider NameLara B Belfiore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942854401
PECOS PAC ID: 8820327984
Enrollment ID: I20190916000767
Provider NameShannon Randa Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083232938
PECOS PAC ID: 7315364833
Enrollment ID: I20200828002614
Provider NameShawna Rochelle Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548887607
PECOS PAC ID: 3072930312
Enrollment ID: I20200901000753
Provider NameRoxane Handal-orefice
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1124461066
PECOS PAC ID: 1254563364
Enrollment ID: I20201130001824
Provider NameCarly Zegarelli
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093316879
PECOS PAC ID: 1759792237
Enrollment ID: I20201205000107
Provider NameKimberly Hurley
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1255503686
PECOS PAC ID: 3476607235
Enrollment ID: I20210412002172
Provider NameRenee L Carney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194492538
PECOS PAC ID: 1355747676
Enrollment ID: I20210910001518
Provider NameAnna Mae Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841577509
PECOS PAC ID: 5991194334
Enrollment ID: I20211105000947
Provider NameKassandra E Giglio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629738422
PECOS PAC ID: 9436544202
Enrollment ID: I20220314000265
Provider NameAmela Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003543711
PECOS PAC ID: 8022487115
Enrollment ID: I20221212002965
Provider NameGiovanna Giovannone
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477263622
PECOS PAC ID: 3375913924
Enrollment ID: I20221223000901
Provider NameKaren Allard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588379333
PECOS PAC ID: 4486027414
Enrollment ID: I20230222001490
Provider NameCaitlin Powers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740909704
PECOS PAC ID: 0648643197
Enrollment ID: I20230302002231
Provider NameJulie Kristine Kulawy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730867565
PECOS PAC ID: 7113381559
Enrollment ID: I20230918003894
Provider NameAndrea Lynn Moehringer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063106441
PECOS PAC ID: 1254786007
Enrollment ID: I20231013001116
Provider NameAshley Rachel Parmentier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609657287
PECOS PAC ID: 3476904301
Enrollment ID: I20240104003682
Provider NameMichelle J Palumbo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497534705
PECOS PAC ID: 7416308564
Enrollment ID: I20240112002536
Provider NameJennefer Luann Will
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821839754
PECOS PAC ID: 5799220489
Enrollment ID: I20240717004571
Provider NameAshley Ann Fahy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174360945
PECOS PAC ID: 8426595489
Enrollment ID: I20240808000348
Provider NameAshley Erika Lamonica
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316777279
PECOS PAC ID: 7416497722
Enrollment ID: I20240912001798
Provider NameGina White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629813274
PECOS PAC ID: 7618402827
Enrollment ID: I20250227000951

Reviews and Comments


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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.