Ellyce Clonan, DDS in Buffalo, NY - Medicare Dentist Provider

Ellyce Clonan, DDS is a medicare enrolled "Dentist - General Practice" provider in Buffalo, New York. Her current practice location is 3435 Main St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 829-3332.

Ellyce Clonan is licensed to practice in New York (license number 060727) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619461399.

Contact Information

	Ellyce Clonan, DDS
	3435 Main St, Buffalo, NY 14214-3099
	(716) 829-3332
	(716) 833-3517

Map and Direction

Healthcare Provider's Profile

Full Name	Ellyce Clonan
Gender	Female
Speciality	Dentist - General Practice
Location	3435 Main St, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619461399
Provider Enumeration Date: 06/18/2018
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8123359221
Enrollment ID: I20191003001635

Medical Identifiers

Medical identifiers for Ellyce Clonan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619461399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0001X	Dentist - Dental Public Health	060727 (New York)	Secondary
1223G0001X	Dentist - General Practice	060727 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellyce Clonan allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Health Center Of Wny, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881789014 PECOS PAC ID: 5193794972 Enrollment ID: O20040928001235

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. Ellyce Clonan 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
Ellyce Clonan, DDS 3435 Main St, Buffalo, NY 14214-3099 Ph: (716) 829-3332	Ellyce Clonan, DDS 3435 Main St, Buffalo, NY 14214-3099 Ph: (716) 829-3332

Reviews and Comments

Dentist in Buffalo, NY

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Dr. Stephen Neal Abel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 325 Squire Hall, Buffalo, NY 14214 Phone: 954-262-1906
Dr. Shashidhar Ramchandrareddy, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3302 Sheridan Dr, Buffalo, NY 14226 Phone: 617-820-9291

Ellyce Clonan, DDS - Medicare Dentist in Buffalo, NY