Charles Teitelbaum, MD in Syracuse, NY

Charles Teitelbaum, MD is a medicare enrolled "Ophthalmology" physician in Syracuse, New York. His current practice location is 5792 Widewaters Pkwy Ste 101, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 422-4412.

Charles Teitelbaum is licensed to practice in New York (license number 137677) 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 1033112487.

Contact Information

	Charles Teitelbaum, MD
	5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847
	(315) 422-4412
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles Teitelbaum
Gender	Male
Speciality	Ophthalmology
Location	5792 Widewaters Pkwy Ste 101, Syracuse, 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: 1033112487
Provider Enumeration Date: 05/31/2005
Last Update Date: 04/27/2019

Medicare PECOS Information:

PECOS PAC ID: 4486686029
Enrollment ID: I20080723000314

Medical Identifiers

Medical identifiers for Charles Teitelbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033112487	NPI	-	NPPES
00922876	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	137677 (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. Charles Teitelbaum allows following entities to bill medicare on his behalf.

Entity Name	Ophthalmology Medical Service Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225072051 PECOS PAC ID: 0446248033 Enrollment ID: O20040503001408

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. Charles Teitelbaum 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
Charles Teitelbaum, MD 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412	Charles Teitelbaum, MD 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412

Reviews and Comments

Ophthalmology Doctors in Syracuse, NY

Dr. George Salloum, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5230
Stephen W Merriam, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5792 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-422-4412 Fax: 315-422-4432
Dr. Michael J Geiss Iii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2215 E Genesee St, Syracuse, NY 13210 Phone: 315-472-5329 Fax: 315-472-3211
Preethi Ganapathy, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 550 Harrison St Ste L, Syracuse, NY 13202 Phone: 315-464-5253
Dr. Adam Miller, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214 Phone: 315-422-4412
Evis Petrela, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Suite 3p, Syracuse, NY 13215 Phone: 315-492-5910 Fax: 315-492-5950

Charles Teitelbaum, MD - Medicare Ophthalmology in Syracuse, NY