Guy M Whalen, MD - Medicare Internal Medicine in Orchard Park, NY

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Guy M Whalen, MD is a medicare enrolled "Internal Medicine" physician in Orchard Park, New York. His current practice location is 3675 Southwestern Blvd, Orchard Park, New York. You can reach out to his office (for appointments etc.) via phone at (716) 972-0279.

Guy M Whalen is licensed to practice in New York (license number 178512) 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 1629052667.

Contact Information

Guy M Whalen, MD
3675 Southwestern Blvd,
Orchard Park, NY 14127-1732
(716) 972-0279
(716) 972-0273

Map and Direction




Physician's Profile

Full NameGuy M Whalen
GenderMale
SpecialityInternal Medicine
Location3675 Southwestern Blvd, Orchard Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629052667
  • Provider Enumeration Date: 12/02/2005
  • Last Update Date: 07/26/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7517092570
  • Enrollment ID: I20100316000230

Medical Identifiers

Medical identifiers for Guy M Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629052667NPI-NPPES
01140472MedicaidNY
434280OtherNYWELLCARE
00010188203OtherNYUNIVERA
0409951OtherNYIHA
000510800004OtherNYBC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 178512 (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. Guy M Whalen allows following entities to bill medicare on his behalf.
Entity NameSouthwestern Medical Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942267455
PECOS PAC ID: 9436191897
Enrollment ID: O20050525000843

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. Guy M Whalen 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
Guy M Whalen, MD
3675 Southwestern Blvd,
Orchard Park, NY 14127-1732

Ph: (716) 972-0279		Guy M Whalen, MD
3675 Southwestern Blvd,
Orchard Park, NY 14127-1732

Ph: (716) 972-0279

Reviews and Comments


Internal Medicine Doctors in Orchard Park, NY

Dr. Ronald B Boersma, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 310 Sterling Drive, Orchard Park, NY 14127
Phone: 716-677-6800    Fax: 716-712-0159
Dr. Saleha Asil Butt, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127
Phone: 716-630-1000    
Dr. Deolindo Ocampos, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 310 Sterling Dr, Suite 100, Orchard Park, NY 14127
Phone: 716-677-6800    Fax: 716-634-1930
Dr. Ronald Paul Emerson Jr., M.D., F.A.C.C.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3065 Southwestern Blvd, Suite 202, Orchard Park, NY 14127
Phone: 716-677-5866    Fax: 716-677-5868
Dr. Jacob Joseph Piazza, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 99 Hawthorne Dr, Orchard Park, NY 14127
Phone: 716-508-8411    
Dr. Kenneth Joseph Guth, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 Centre Dr Ste G, Orchard Park, NY 14127
Phone: 716-740-1700    Fax: 716-740-1701
Dr. Linda M Burns, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3055 Southwestern Blvd Ste 100, Orchard Park, NY 14127
Phone: 716-675-2500    

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.