Dr William D Mayer, MD is a medicare enrolled "Family Medicine" physician in Broadalbin, New York. His current practice location is
3768 St Hwy 30, Broadalbin, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 883-3121.
Dr William D Mayer is licensed to practice in New York (license number 157825) 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 1518963941.
Physician's Profile
| Full Name | Dr William D Mayer |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 3768 St Hwy 30, Broadalbin, 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: 1518963941
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 12/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 5890960819
- Enrollment ID: I20111202000286
Medical Identifiers
Medical identifiers for Dr William D Mayer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518963941 | NPI | - | NPPES |
| 00845749 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 157825 (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 William D Mayer allows following entities to bill medicare on his behalf.
| Entity Name | St. Mary's Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518926401
PECOS PAC ID: 7618960709
Enrollment ID: O20040405001628 |
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| Entity Name | Carondelet Regional Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861939944
PECOS PAC ID: 0840554051
Enrollment ID: O20180515002257 |
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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 William D Mayer 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 William D Mayer, MD
Po Box 923,
Broadalbin, NY 12025-0923
Ph: (518) 883-3121 | Dr William D Mayer, MD
3768 St Hwy 30,
Broadalbin, NY 12025
Ph: (518) 883-3121 |
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