Dr Karen K Michelena, MD - Medicare Family Medicine in Galway, NY

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Dr Karen K Michelena, MD is a medicare enrolled "Family Medicine" physician in Galway, New York. Her current practice location is 5344 Sacandaga Rd, Galway, New York. You can reach out to her office (for appointments etc.) via phone at (518) 882-6955.

Dr Karen K Michelena is licensed to practice in New York (license number 233388) 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 1962582262.

Contact Information

Dr Karen K Michelena, MD
5344 Sacandaga Rd,
Galway, NY 12074-2422
(518) 882-6955
(518) 886-5880

Map and Direction




Physician's Profile

Full NameDr Karen K Michelena
GenderFemale
SpecialityFamily Medicine
Location5344 Sacandaga Rd, Galway, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962582262
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 04/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082640610
  • Enrollment ID: I20050714000341

Medical Identifiers

Medical identifiers for Dr Karen K Michelena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962582262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 233388 (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 Karen K Michelena allows following entities to bill medicare on her behalf.
Entity NameSaratoga Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033371166
PECOS PAC ID: 6406740273
Enrollment ID: O20040402000837

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 Karen K Michelena 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 AddressPractice Location Address
Dr Karen K Michelena, MD
5344 Sacandaga Rd,
Galway, NY 12074-2422

Ph: (518) 882-6955		Dr Karen K Michelena, MD
5344 Sacandaga Rd,
Galway, NY 12074-2422

Ph: (518) 882-6955

Reviews and Comments


Family Medicine Doctors in Galway, NY

Karen Krutchick, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5344 Sacandaga Rd, Galway, NY 12074
Phone: 518-363-8815    
Dr. Wendy Mayes-beasly, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5344 Sacandaga Road, Galway, NY 12074
Phone: 518-882-6955    Fax: 518-882-9051
Anneke Pribis, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5344 Sacandaga Rd, Galway, NY 12074
Phone: 518-882-6955    Fax: 518-882-5575

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.