Erika Connor, MD is a medicare enrolled "Family Medicine" physician in Randolph, New York. She went to State University Of New York At Buffalo School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. Her current practice location is
111 Main St, Randolph, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 358-2340.
Erika Connor is licensed to practice in New York (license number 172279) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336136274.
Physician's Profile
| Full Name | Erika Connor |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 42 Years |
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| Location | 111 Main St, Randolph, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Erika Connor attended and graduated from State University Of New York At Buffalo School Of Medicine in 1982
NPI Data:
- NPI Number: 1336136274
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 08/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 6608901657
- Enrollment ID: I20100317000023
Medical Identifiers
Medical identifiers for Erika Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336136274 | NPI | - | NPPES |
| 01042479 | Medicaid | NY | |
| 00010261902 | Other | NY | UNIVERA |
| 000511511006 | Other | NY | BC/BS |
| 0110256 | Other | NY | IHA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 172279 (New York) | Primary |
Medical Facilities Affiliation
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. Erika Connor allows following entities to bill medicare on her behalf.
| Entity Name | Erika Connor, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639240278
PECOS PAC ID: 9436284486
Enrollment ID: O20100317000010 |
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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. Erika 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 |
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Erika Connor, MD
111 Main St,
Randolph, NY 14772-1131
Ph: (716) 358-2340 | Erika Connor, MD
111 Main St,
Randolph, NY 14772-1131
Ph: (716) 358-2340 |
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