Mr Salvatore Russell Pecoraro, MD is a medicare enrolled "Emergency Medicine" physician in Medina, New York. His current practice location is
200 Ohio Street, Medina Memorial Hospital, Medina, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 798-8080.
Mr Salvatore Russell Pecoraro is licensed to practice in New York (license number 183816) 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 1548395429.
Physician's Profile
Full Name | Mr Salvatore Russell Pecoraro |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 200 Ohio Street, Medina, 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: 1548395429
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587690870
- Enrollment ID: I20050708000402
Medical Identifiers
Medical identifiers for Mr Salvatore Russell Pecoraro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548395429 | NPI | - | NPPES |
183816 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 183816 (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 Salvatore Russell Pecoraro allows following entities to bill medicare on his behalf.
Entity Name | Emergency Physician Services Of New York, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
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Entity Name | Keystone Medical Services Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952331761 PECOS PAC ID: 7810933009 Enrollment ID: O20050628000857 |
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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 Salvatore Russell Pecoraro 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 Salvatore Russell Pecoraro, MD 37 Forestview Court, Williamsville, NY 14221-1445 Ph: (716) 689-6765 | Mr Salvatore Russell Pecoraro, MD 200 Ohio Street, Medina Memorial Hospital, Medina, NY 14103 Ph: (585) 798-8080 |
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