Dr Russell Crockett Woglom, MD in Corning, NY

Dr Russell Crockett Woglom, MD is a medicare enrolled "Internal Medicine" physician in Corning, New York. He went to University Of Massachusetts Medical School and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Guthrie Medical Group Pc and his current practice location is 130 Center Way, Corning, New York. You can reach out to his office (for appointments etc.) via phone at (607) 936-9971.

Dr Russell Crockett Woglom is licensed to practice in New York (license number 170146-1) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417923434.

Contact Information

	Dr Russell Crockett Woglom, MD
	130 Center Way, Corning, NY 14830-2255
	(607) 936-9971
	(607) 936-2600

Map and Direction

Physician's Profile

Full Name	Dr Russell Crockett Woglom
Gender	Male
Speciality	Internal Medicine
Experience	40 Years
Location	130 Center Way, Corning, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Russell Crockett Woglom attended and graduated from University Of Massachusetts Medical School in 1984

NPI Data:

NPI Number: 1417923434
Provider Enumeration Date: 02/28/2006
Last Update Date: 03/03/2021

Medicare PECOS Information:

PECOS PAC ID: 8527101211
Enrollment ID: I20110118000017

Medical Identifiers

Medical identifiers for Dr Russell Crockett Woglom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417923434	NPI	-	NPPES
110224586	Other	NY	RR MEDICARE PIN
CC8362	Other	NY	RR MEDICARE GROUP
01030271	Medicaid	NY
0010940660003	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	170146-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vna Of Western Ny Chha	Williamsville, NY	Home health agency
Kindred At Home (corning)	Corning, NY	Home health agency
Carefirst / Southern Tier Hospice And Palliative	Painted post, NY	Hospice
Corning Hospital	Corning, NY	Hospital
Arnot Ogden Medical Center	Elmira, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Guthrie Medical Group Pc	6002728656	637

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 Russell Crockett Woglom allows following entities to bill medicare on his behalf.

Entity Name	Guthrie Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220

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 Russell Crockett Woglom 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 Russell Crockett Woglom, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858	Dr Russell Crockett Woglom, MD 130 Center Way, Corning, NY 14830-2255 Ph: (607) 936-9971

Reviews and Comments

Internal Medicine Doctors in Corning, NY

Dr. William Alan Sorber, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600
Lillian A Umbarger, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Guthrie Dr, Corning, NY 14830 Phone: 607-937-7200
Dr. Richard Joseph Fastiggi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600
Venugopal Thirumurti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Guthrie Dr, Corning, NY 14830 Phone: 607-739-8000 Fax: 570-887-6800
Allison Schmidt, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3 Guthrie Dr, Corning, NY 14830 Phone: 607-973-8000
Dr. Hari Har Sharma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600
Dr. Angel Luis Malavet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600

Dr Russell Crockett Woglom, MD - Medicare Internal Medicine in Corning, NY