Philipp C Wirth, MD is a medicare enrolled "Internal Medicine" physician in Waterloo, New York. His current practice location is
369 E Main St, Waterloo, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 539-4025.
Philipp C Wirth is licensed to practice in New York (license number 245800) 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 1194915389.
Physician's Profile
| Full Name | Philipp C Wirth |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 369 E Main St, Waterloo, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1194915389
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 01/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 8820186026
- Enrollment ID: I20071126000290
Medical Identifiers
Medical identifiers for Philipp C Wirth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194915389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 245800 (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. Philipp C Wirth allows following entities to bill medicare on his behalf.
| Entity Name | Flh Medical Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215174644
PECOS PAC ID: 6507922358
Enrollment ID: O20090304000165 |
|---|
| Entity Name | Soldiers & Sailors Memorial Hospital |
|---|
| Entity Type | Part A Provider - Critical Access Hospital |
|---|
| Entity Identifiers | NPI Number: 1215044516
PECOS PAC ID: 0446164255
Enrollment ID: O20210407000450 |
|---|
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. Philipp C Wirth 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 |
|---|
Philipp C Wirth, MD
35 Mason St, Suite 214,
Geneva, NY 14456-1133
Ph: (315) 230-5646 | Philipp C Wirth, MD
369 E Main St,
Waterloo, NY 13165-1654
Ph: (315) 539-4025 |
Reviews and Comments