Stephen Mark Winfield, MD - Medicare Family Practice in Champlain, NY

Stephen Mark Winfield, MD is a medicare enrolled "Family Medicine" physician in Champlain, New York. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lake City Primary Care Pllc and his current practice location is 828 State Route 11, Champlain, New York. You can reach out to his office (for appointments etc.) via phone at (518) 298-2691.

Stephen Mark Winfield is licensed to practice in New York (license number 300598) 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 1992156970.

Contact Information

Stephen Mark Winfield, MD
828 State Route 11,
Champlain, NY 12919-4966
(518) 298-2691
(518) 298-8241

Map and Direction




Physician's Profile

Full NameStephen Mark Winfield
GenderMale
SpecialityFamily Practice
Experience9 Years
Location828 State Route 11, Champlain, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephen Mark Winfield graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1992156970
  • Provider Enumeration Date: 06/30/2016
  • Last Update Date: 04/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830483114
  • Enrollment ID: I20190828002245

Medical Identifiers

Medical identifiers for Stephen Mark Winfield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992156970NPI-NPPES
05787866MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 300598 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hcr / Hcr Home Care Chha (plattsburgh)Plattsburgh, NYHome health agency
Hospice Of The North Country IncPlattsburgh, NYHospice
Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake City Primary Care Pllc01434582997

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. Stephen Mark Winfield allows following entities to bill medicare on his behalf.
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameLake City Primary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164850053
PECOS PAC ID: 0143458299
Enrollment ID: O20140116001465

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. Stephen Mark Winfield 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
Stephen Mark Winfield, MD
9 Carey Rd,
Queensbury, NY 12804-7880

Ph: (518) 761-0300
Stephen Mark Winfield, MD
828 State Route 11,
Champlain, NY 12919-4966

Ph: (518) 298-2691

Reviews and Comments


Family Medicine Doctors in Champlain, NY

Maurice A Racine, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 828 State Route 11, Champlain, NY 12919
Phone: 518-298-2691    Fax: 518-298-8241
Aaron Esterson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 828 State Route 11, Champlain, NY 12919
Phone: 518-298-2691    Fax: 518-298-8241
Candice Michelle Ciolac, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 481 State Route 11, Champlain, NY 12919
Phone: 518-298-2691    Fax: 518-298-8241
Stephanie Papaconstantinou, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 828 State Route 11, Champlain, NY 12919
Phone: 518-298-2691    Fax: 518-298-8241
Lisa Marie Skarling, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 828 State Route 11, Champlain, NY 12919
Phone: 518-298-2691    Fax: 518-298-8241
Jessica S King, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 481 Route 11, Champlain, NY 12919
Phone: 518-298-2691    Fax: 518-298-8241
Nicole Brianna Cerklewich, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 828 State Route 11, Champlain, NY 12919
Phone: 518-298-2691    Fax: 518-298-8421

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.