Craig M Fetterman, DO is a medicare enrolled "Hospitalist" physician in Kenmore, New York. His current practice location is
2950 Elmwood Ave, Kenmore, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 634-8800.
Craig M Fetterman is licensed to practice in New York (license number 230757-1) 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 1902868383.
Physician's Profile
| Full Name | Craig M Fetterman |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2950 Elmwood Ave, Kenmore, 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:
- Craig M Fetterman attended and graduated from in
NPI Data:
- NPI Number: 1902868383
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Craig M Fetterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902868383 | NPI | - | NPPES |
| 0412489 | Other | NY | INDEPENDENT HEALTH |
| 000527760001 | Other | NY | BC/BS |
| 0026827302 | Other | NY | UNIVERA |
| 02533062 | Medicaid | NY | |
| 041006000116 | Other | NY | FIDELIS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 230757 (New York) | Secondary |
| 208M00000X | Hospitalist | 230757-1 (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. Craig M Fetterman 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 |
|---|
Craig M Fetterman, DO
40 Main St,
Hamburg, NY 14075-4948
Ph: (716) 649-0887 | Craig M Fetterman, DO
2950 Elmwood Ave,
Kenmore, NY 14217-1304
Ph: (716) 634-8800 |
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