Todd M Podkowka, DO is a medicare enrolled "Family Medicine" physician in Boonville, New York. His current practice location is
6483 Cone Rd, Boonville, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 339-6536.
Todd M Podkowka is licensed to practice in New York (license number 216019) 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 1174633622.
Physician's Profile
Full Name | Todd M Podkowka |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 6483 Cone Rd, Boonville, 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: 1174633622
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 03/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789660739
- Enrollment ID: I20040629000736
Medical Identifiers
Medical identifiers for Todd M Podkowka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174633622 | NPI | - | NPPES |
06000216019 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 216019 (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. Todd M Podkowka allows following entities to bill medicare on his behalf.
Entity Name | Mvhs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
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Entity Name | Crouse-community Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376525378 PECOS PAC ID: 5698750677 Enrollment ID: O20040623000509 |
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Entity Name | Todd M Podkowka Do Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518210608 PECOS PAC ID: 9638324650 Enrollment ID: O20130223000125 |
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Entity Name | State Of New York Comptrollers Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
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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. Todd M Podkowka 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 |
Todd M Podkowka, DO 6483 Cone Rd, Boonville, NY 13309-3311 Ph: (315) 339-6536 | Todd M Podkowka, DO 6483 Cone Rd, Boonville, NY 13309-3311 Ph: (315) 339-6536 |
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