Dr Terrence Patrick O'connor, MD is a medicare enrolled "Emergency Medicine" physician in Malone, New York. His current practice location is
133 Park St, Malone, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 483-2000.
Dr Terrence Patrick O'connor is licensed to practice in New York (license number 320332) 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 1063851673.
Physician's Profile
| Full Name | Dr Terrence Patrick O'connor |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 133 Park St, Malone, 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: 1063851673
- Provider Enumeration Date: 06/17/2013
- Last Update Date: 03/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557630613
- Enrollment ID: I20170705001140
Medical Identifiers
Medical identifiers for Dr Terrence Patrick O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063851673 | NPI | - | NPPES |
| ME131124 | Other | FL | FLORIDA BOARD OF MEDICINE |
| MT203453 | Other | PA | PENNSYLVANIA MEDICAL TRAINING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MT203453 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | ME131124 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 320332 (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 Terrence Patrick O'connor allows following entities to bill medicare on his behalf.
| Entity Name | South Miami Criticare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306878210
PECOS PAC ID: 5092629808
Enrollment ID: O20031117000334 |
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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 Terrence Patrick O'connor 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 Terrence Patrick O'connor, MD
133 Park St,
Malone, NY 12953-1244
Ph: (518) 483-2000 | Dr Terrence Patrick O'connor, MD
133 Park St,
Malone, NY 12953-1244
Ph: (518) 483-2000 |
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