Mr Michael Christopher Secallus, FNP is a medicare enrolled "Nurse Practitioner" physician in Marathon, New York. His current practice location is
20 East Main Street, Marathon, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 849-3271.
Mr Michael Christopher Secallus is licensed to practice in New York (license number 339980) 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 1730787128.
Physician's Profile
Full Name | Mr Michael Christopher Secallus |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 20 East Main Street, Marathon, 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. |
NPI Data:
- NPI Number: 1730787128
- Provider Enumeration Date: 10/16/2020
- Last Update Date: 06/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284017948
- Enrollment ID: I20230123001649
Medical Identifiers
Medical identifiers for Mr Michael Christopher Secallus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730787128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F339980-1 (New York) | Secondary |
363L00000X | Nurse Practitioner | 339980 (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. Mr Michael Christopher Secallus allows following entities to bill medicare on his behalf.
Entity Name | Family Health Network Of Central New York, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043374853 PECOS PAC ID: 2668385014 Enrollment ID: O20031111000423 |
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Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
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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. Mr Michael Christopher Secallus 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 |
Mr Michael Christopher Secallus, FNP 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Mr Michael Christopher Secallus, FNP 20 East Main Street, Marathon, NY 13803 Ph: (607) 849-3271 |
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