Dennis S O'brien, MD is a medicare enrolled "Internal Medicine" physician in Ticonderoga, New York. His current practice location is
102 Race Track Rd Ste 1, Ticonderoga, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 585-6708.
Dennis S O'brien is licensed to practice in New York (license number 154766) 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 1952449829.
Physician's Profile
Full Name | Dennis S O'brien |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 102 Race Track Rd Ste 1, Ticonderoga, 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: 1952449829
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 11/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244129856
- Enrollment ID: I20040312000087
Medical Identifiers
Medical identifiers for Dennis S O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952449829 | NPI | - | NPPES |
00774992 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 154766 (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. Dennis S O'brien allows following entities to bill medicare on his behalf.
Entity Name | Chs Physician Partners Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164585725 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
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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. Dennis S O'brien 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 |
Dennis S O'brien, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Dennis S O'brien, MD 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 Ph: (518) 585-6708 |
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