Dr Clinton Charles Conger, DC is a medicare enrolled "Chiropractor" provider in Mattydale, New York. He went to New York Chiropractic College and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and his current practice location is
2605 Brewerton Rd, Mattydale, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 415-2028.
Dr Clinton Charles Conger is licensed to practice in New York (license number X0110111) 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 1215044201.
Healthcare Provider's Profile
| Full Name | Dr Clinton Charles Conger |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 20 Years |
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| Location | 2605 Brewerton Rd, Mattydale, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clinton Charles Conger attended and graduated from New York Chiropractic College in 2004
NPI Data:
- NPI Number: 1215044201
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 03/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759338460
- Enrollment ID: I20050405000879
Medical Identifiers
Medical identifiers for Dr Clinton Charles Conger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215044201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | X0110111 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 223 |
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. Dr Clinton Charles Conger allows following entities to bill medicare on his behalf.
| Provider Name | Our Lady Of Lourdes Memorial Hospital Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629087580
PECOS PAC ID: 1254237779
Enrollment ID: O20031208000366 |
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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. Dr Clinton Charles Conger 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 |
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Dr Clinton Charles Conger, DC
2605 Brewerton Rd,
Mattydale, NY 13211-1147
Ph: (315) 415-2028 | Dr Clinton Charles Conger, DC
2605 Brewerton Rd,
Mattydale, NY 13211-1147
Ph: (315) 415-2028 |
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