Dr Cynthia Larrabee Short, MD is a medicare enrolled "Internal Medicine" physician in Granville, New York. Her current practice location is
79 North St, Granville, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 642-0612.
Dr Cynthia Larrabee Short is licensed to practice in New York (license number 171757) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306974845.
Physician's Profile
| Full Name | Dr Cynthia Larrabee Short |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 79 North St, Granville, 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. |
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NPI Data:
- NPI Number: 1306974845
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284871435
- Enrollment ID: I20170817003453
Medical Identifiers
Medical identifiers for Dr Cynthia Larrabee Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306974845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 171757 (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. Dr Cynthia Larrabee Short allows following entities to bill medicare on her behalf.
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629087580
PECOS PAC ID: 1254237779
Enrollment ID: O20031208000366 |
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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. Dr Cynthia Larrabee Short 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 |
|---|
Dr Cynthia Larrabee Short, MD
79 North St,
Granville, NY 12832-1137
Ph: (518) 642-0612 | Dr Cynthia Larrabee Short, MD
79 North St,
Granville, NY 12832-1137
Ph: (518) 642-0612 |
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