Mrs Parul Saxena, MD - Medicare Pediatrics in Johnstown, NY

Mrs Parul Saxena, MD is a medicare enrolled "Pediatrics" physician in Johnstown, New York. Her current practice location is 700 S. Perry St, St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri, Johnstown, New York. You can reach out to her office (for appointments etc.) via phone at (518) 762-3161.

Mrs Parul Saxena is licensed to practice in New York (license number 183830) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447279179.

Contact Information

Mrs Parul Saxena, MD
700 S. Perry St, St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri,
Johnstown, NY 12095
(518) 762-3161
(518) 762-4902

Map and Direction




Physician's Profile

Full NameMrs Parul Saxena
GenderFemale
SpecialityPediatrics
Location700 S. Perry St, Johnstown, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447279179
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 08/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2062512189
  • Enrollment ID: I20070703000014

Medical Identifiers

Medical identifiers for Mrs Parul Saxena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447279179NPI-NPPES
398798OtherNYMVP
000470630008OtherNYBSNENY
090602000068OtherNYFIDELIS
10118765OtherNYCDPHP
000000114401OtherNYGHI HMO
01349339MedicaidNY
0144337OtherNYGHI PPO
4322150OtherNYAETNA
8B3623OtherNYEMPIRE BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 183830 (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. Mrs Parul Saxena allows following entities to bill medicare on her behalf.
Entity NameSt. Mary's Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518926401
PECOS PAC ID: 7618960709
Enrollment ID: O20040405001628

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. Mrs Parul Saxena 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
Mrs Parul Saxena, MD
427 Guy Park Ave, St. Mary's Healthcare; Corporate Responsibility/legal D,
Amsterdam, NY 12010-1054

Ph: (518) 770-7518
Mrs Parul Saxena, MD
700 S. Perry St, St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri,
Johnstown, NY 12095

Ph: (518) 762-3161

Reviews and Comments


Pediatrics Doctors in Johnstown, NY

Dr. Lisa Marie Rotelli, D. O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 110 Decker Dr Ste 100, Johnstown, NY 12095
Phone: 518-762-6731    Fax: 518-762-7135
Dr. Shannon Jane Colt, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 110 Decker Drive, Suite 100, Johnstown, NY 12095
Phone: 518-762-6731    Fax: 518-762-7135
John Mcphillips, M.D.
Pediatrics
Medicare: May Accept Medicare Assignments
Practice Location: 279 Maloney Rd, Johnstown, NY 12095
Phone: 518-736-2094    Fax: 518-736-1052

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.