Mr Samuel Dean Detweiler, MD is a medicare enrolled "Family Medicine" physician in Northville, New York. He graduated from medical school in 1981 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St. Mary's Healthcare and his current practice location is
331 Bridge St, St. Mary's Hospital, Northville Family Health Center, Northville, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 863-4200.
Mr Samuel Dean Detweiler is licensed to practice in New York (license number 157873) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437299237.
Physician's Profile
| Full Name | Mr Samuel Dean Detweiler |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 44 Years |
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| Location | 331 Bridge St, Northville, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Samuel Dean Detweiler graduated from medical school in 1981
NPI Data:
- NPI Number: 1437299237
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 09/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 6103979489
- Enrollment ID: I20090804000421
Medical Identifiers
Medical identifiers for Mr Samuel Dean Detweiler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437299237 | NPI | - | NPPES |
| 000419006006 | Other | NY | BS PROVIDER NUMBER |
| 77787 | Other | NY | MVP |
| 040426006943 | Other | NY | FIDELIS |
| 10000485 | Other | NY | CDPHP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 157873 (New York) | Secondary |
| 207Q00000X | Family Medicine | 157873 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Mary's Healthcare | 7618960709 | 79 |
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 Samuel Dean Detweiler 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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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 Samuel Dean Detweiler 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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Mr Samuel Dean Detweiler, MD
427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital At Amsterdam,
Amsterdam, NY 12010
Ph: (518) 841-7430 | Mr Samuel Dean Detweiler, MD
331 Bridge St, St. Mary's Hospital, Northville Family Health Center,
Northville, NY 12134
Ph: (518) 863-4200 |
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