Payton Maryjean Hannon, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Cobleskill, New York. She went to State University Of Ny Upstate Medical University and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Upstate Family And Preventive Medicine Inc and her current practice location is
136 Parkway Dr, Cobleskill, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 234-2555.
Payton Maryjean Hannon is licensed to practice in New York (license number 347770) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285244277.
Physician's Profile
Full Name | Payton Maryjean Hannon |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 136 Parkway Dr, Cobleskill, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Payton Maryjean Hannon attended and graduated from State University Of Ny Upstate Medical University in 2021
NPI Data:
- NPI Number: 1285244277
- Provider Enumeration Date: 08/04/2020
- Last Update Date: 07/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557765989
- Enrollment ID: I20210809000047
Medical Identifiers
Medical identifiers for Payton Maryjean Hannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285244277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 347770 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | 347770 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Upstate Family And Preventive Medicine Inc | 6800185711 | 22 |
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. Payton Maryjean Hannon allows following entities to bill medicare on her behalf.
Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
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Entity Name | Upstate Family And Preventive Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073988911 PECOS PAC ID: 6800185711 Enrollment ID: O20160517000789 |
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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. Payton Maryjean Hannon 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 |
Payton Maryjean Hannon, FNP 136 Parkway Dr, Cobleskill, NY 12043-5150 Ph: (315) 625-4034 | Payton Maryjean Hannon, FNP 136 Parkway Dr, Cobleskill, NY 12043-5150 Ph: (518) 234-2555 |
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