Dr Kenneth Paul Subin, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Ithaca, New York. His current practice location is
16 Brentwood Dr, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 339-0680.
Dr Kenneth Paul Subin is licensed to practice in New York (license number 244080) 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 1144333170.
Physician's Profile
| Full Name | Dr Kenneth Paul Subin |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 16 Brentwood Dr, Ithaca, 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: 1144333170
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 08/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 5597805648
- Enrollment ID: I20091221000502
Medical Identifiers
Medical identifiers for Dr Kenneth Paul Subin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144333170 | NPI | - | NPPES |
| 03168114 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 244080 (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 Kenneth Paul Subin allows following entities to bill medicare on his behalf.
| Entity Name | Cayuga Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525455
PECOS PAC ID: 6709897960
Enrollment ID: O20060601000199 |
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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 Kenneth Paul Subin 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 Kenneth Paul Subin, MD
1301 Trumansburg Rd Ste P,
Ithaca, NY 14850-1397
Ph: (607) 277-2365 | Dr Kenneth Paul Subin, MD
16 Brentwood Dr,
Ithaca, NY 14850
Ph: (607) 339-0680 |
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