Evan Conley, DDS in Lockport, NY - Medicare Dentist Provider

Evan Conley, DDS is a medicare enrolled "Dentist" provider in Lockport, New York. His current practice location is 233 East Ave, Lockport, New York. You can reach out to his office (for appointments etc.) via phone at (716) 434-1900.

Evan Conley is licensed to practice in New York (license number 063200) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730820663.

Contact Information

	Evan Conley, DDS
	233 East Ave, Lockport, NY 14094-3812
	(716) 434-1900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Conley
Gender	Male
Speciality	Dentist
Location	233 East Ave, Lockport, 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: 1730820663
Provider Enumeration Date: 04/05/2022
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9436692167
Enrollment ID: I20240621002170

Medical Identifiers

Medical identifiers for Evan Conley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730820663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	063200 (New York)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Evan Conley allows following entities to bill medicare on his behalf.

Entity Name	Erie County Medical Center Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538

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. Evan Conley 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
Evan Conley, DDS 233 East Ave, Lockport, NY 14094-3812 Ph: () -	Evan Conley, DDS 233 East Ave, Lockport, NY 14094-3812 Ph: (716) 434-1900

Reviews and Comments

Dentist in Lockport, NY

Dr. Kevin P Farrell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 335 Bewley Bldg, Lockport, NY 14094 Phone: 716-433-9250
Dr. Michael Stuart Dick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 219 Hawley St, Lockport, NY 14094 Phone: 716-434-0610 Fax: 716-434-4394
Dr. William Lawrence Langton, DDS Dentist Medicare: Medicare Enrolled Practice Location: 39 Elizabeth Dr, Lockport, NY 14094 Phone: 716-433-6004
Dr. Syed Zaeem Hussain Raza, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6409 Cherrywood Ln, Lockport, NY 14094 Phone: 585-416-9091
Mr. John Francis Kugler Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 691 Davison Rd, Lockport, NY 14094 Phone: 716-433-8292 Fax: 716-433-9443
Lorraine Marie Schwagler, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 East Ave, Lockport, NY 14094 Phone: 716-433-7222
Dr. Louis A Surace, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 37 Professional Pkwy, Lockport, NY 14094 Phone: 716-433-3364 Fax: 716-433-7763

Evan Conley, DDS - Medicare Dentist in Lockport, NY