Thomas Degenero I, is a medicare enrolled "Dentist" provider in West Sand Lake, New York. His current practice location is
4482 Ny Route 150, West Sand Lake, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 674-8500.
Thomas Degenero I is licensed to practice in New York (license number 37900) 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 1346671872.
Healthcare Provider's Profile
Full Name | Thomas Degenero I |
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Gender | Male |
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Speciality | Dentist |
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Location | 4482 Ny Route 150, West Sand Lake, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346671872
- Provider Enumeration Date: 12/10/2013
- Last Update Date: 12/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 0143508689
- Enrollment ID: I20161103000883
Medical Identifiers
Medical identifiers for Thomas Degenero I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346671872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 37900 (New York) | Primary |
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. Thomas Degenero I 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 |
Thomas Degenero I, Po Box 367, West Sand Lake, NY 12196-0367 Ph: (518) 674-8500 | Thomas Degenero I, 4482 Ny Route 150, West Sand Lake, NY 12018 Ph: (518) 674-8500 |
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