Ralph Fenderson, MD is a medicare enrolled "Internal Medicine" physician in Centerport, New York. His current practice location is
41 Spring Hollow Rd, Centerport, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 757-9685.
Ralph Fenderson is licensed to practice in New York (license number 087241) 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 1033305297.
Physician's Profile
Full Name | Ralph Fenderson |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 41 Spring Hollow Rd, Centerport, 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: 1033305297
- Provider Enumeration Date: 09/21/2007
- Last Update Date: 11/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981634847
- Enrollment ID: I20151028000571
Medical Identifiers
Medical identifiers for Ralph Fenderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033305297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 087241 (New York) | Primary |
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. Ralph Fenderson 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 |
Ralph Fenderson, MD 41 Spring Hollow Rd, Centerport, NY 11721-1122 Ph: (631) 757-9685 | Ralph Fenderson, MD 41 Spring Hollow Rd, Centerport, NY 11721-1122 Ph: (631) 757-9685 |
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