Dr Marissa Lynne Mincolla, MD - Medicare Radiology in Syracuse, NY

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Dr Marissa Lynne Mincolla, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Syracuse, New York. Her current practice location is 750 E Adams St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-7434.

Dr Marissa Lynne Mincolla is licensed to practice in New York (license number 270174) 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 1619111234.

Contact Information

Dr Marissa Lynne Mincolla, MD
750 E Adams St,
Syracuse, NY 13210-2342
(315) 464-7434
Not Available

Map and Direction




Physician's Profile

Full NameDr Marissa Lynne Mincolla
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619111234
  • Provider Enumeration Date: 04/27/2009
  • Last Update Date: 05/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9335382431
  • Enrollment ID: I20130821000068

Medical Identifiers

Medical identifiers for Dr Marissa Lynne Mincolla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619111234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 270174 (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 Marissa Lynne Mincolla allows following entities to bill medicare on her behalf.
Entity NameUniversity Radiology Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215978184
PECOS PAC ID: 4981686110
Enrollment ID: O20040602001011

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 Marissa Lynne Mincolla 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 Marissa Lynne Mincolla, MD
7510 Meadow Wood Dr,
North Syracuse, NY 13212-1042

Ph: (315) 559-7137		Dr Marissa Lynne Mincolla, MD
750 E Adams St,
Syracuse, NY 13210-2342

Ph: (315) 464-7434

Reviews and Comments


Radiology Doctors in Syracuse, NY

James E Suchnicki, MD
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Phone: 315-470-7551    
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Dr. Atin Goel, MD
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Dr. Neil F Mariados, MD
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Phone: 315-478-3468    Fax: 315-214-2840
Seung Shin Hahn, M.D.
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David Jonathan Pinter, MD
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Practice Location: 750 E Adams St Rm 3416, Syracuse, NY 13210
Phone: 315-464-7439    Fax: 315-464-7494
Dr. Ja Kwei Chang, MD
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Practice Location: 750 E Adams St, 3rd Floor Radiology, Syracuse, NY 13210
Phone: 315-464-6672    

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.