Associated Gastroenterologists Of Central New York, Pc - Medicare Primary Care in Camillus, NY

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Associated Gastroenterologists Of Central New York, Pc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Camillus, New York. The current practice location for Associated Gastroenterologists Of Central New York, Pc is 260 Township Blvd, Ste 20, Camillus, New York. For appointments, you can reach them via phone at (315) 708-0190. The mailing address for Associated Gastroenterologists Of Central New York, Pc is 260 Township Blvd, Ste 20, Camillus, New York and phone number is (315) 708-0091.

Associated Gastroenterologists Of Central New York, Pc is licensed to practice in New York (license number ). The clinic also participates in the medicare program and its NPI number is 1013938174. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (315) 708-0190.

Contact Information

Associated Gastroenterologists Of Central New York, Pc
260 Township Blvd
Ste 20
Camillus
NY 13031
(315) 708-0190
(315) 488-3284

Map and Direction


Primary Care Clinic Profile

Full NameAssociated Gastroenterologists Of Central New York, Pc
SpecialityInternal Medicine
Location260 Township Blvd, Camillus, New York
Authorized Official Name and PositionCarol Gallup (CREDENTIALING COORDINATOR)
Authorized Official Contact3152180085
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Associated Gastroenterologists Of Central New York, Pc
260 Township Blvd
Ste 20
Camillus
NY 13031

Ph: (315) 708-0091		Associated Gastroenterologists Of Central New York, Pc
260 Township Blvd
Ste 20
Camillus
NY 13031

Ph: (315) 708-0190

NPI Details:

NPI Number1013938174
Provider Enumeration Date07/22/2006
Last Update Date03/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID3375512213
Medicare Enrollment IDO20040928000914

Medical Identifiers

Medical identifiers for Associated Gastroenterologists Of Central New York, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013938174NPI-NPPES
00482137MedicaidNY
CF1049OtherNYR/R MEDICARE
CC7979OtherNYR/R MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (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. Associated Gastroenterologists Of Central New York, Pc acts as a billing entity for following providers:
Provider NameChristian N Ezidiegwu
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1053364802
PECOS PAC ID: 5496746463
Enrollment ID: I20040519000662
Provider NameMichael Kelleher
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1851475800
PECOS PAC ID: 4688648199
Enrollment ID: I20040820001052
Provider NameJohn H Sun
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205840899
PECOS PAC ID: 7315986734
Enrollment ID: I20050426000762
Provider NameRayees Nizam
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1154375087
PECOS PAC ID: 4082664537
Enrollment ID: I20100512000773
Provider NameScott Edison
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1124032032
PECOS PAC ID: 1052507001
Enrollment ID: I20101202000329
Provider NameTheodore J Koh
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1114931037
PECOS PAC ID: 0042248411
Enrollment ID: I20101213000949
Provider NameSyed Saeed Zaman
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1295729143
PECOS PAC ID: 0547441610
Enrollment ID: I20110222000992
Provider NameMargaret M Bailey
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1518946433
PECOS PAC ID: 0547443673
Enrollment ID: I20110325000767
Provider NameChristine M Granato
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851535116
PECOS PAC ID: 6608027024
Enrollment ID: I20121113000320
Provider NameLisa A Hawthorne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275509416
PECOS PAC ID: 8022257716
Enrollment ID: I20130610000128
Provider NameThomas C Lee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1568652261
PECOS PAC ID: 0749445591
Enrollment ID: I20130730000510
Provider NameQun Xu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689837684
PECOS PAC ID: 5890928725
Enrollment ID: I20140430001528
Provider NameKaren R Simbari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467837484
PECOS PAC ID: 7416266986
Enrollment ID: I20151023000457
Provider NameKathryn D Alder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235648858
PECOS PAC ID: 8628337326
Enrollment ID: I20180125000063
Provider NameEmily H Taeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659744027
PECOS PAC ID: 6204139389
Enrollment ID: I20190802002546
Provider NameMelanie K Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619518511
PECOS PAC ID: 1951727932
Enrollment ID: I20200820003332
Provider NameStacey Jantsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861091324
PECOS PAC ID: 7810304482
Enrollment ID: I20210326000084
Provider NameMargaret Spinosa
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073047205
PECOS PAC ID: 4183084106
Enrollment ID: I20230721000756

Reviews and Comments


Internal Medicine in Camillus, NY

Camillus Family Health Assoc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5006 West Genesee Street, Camillus, NY 13031
Phone: 315-234-2342    Fax: 315-234-0697
Preventive Medicine Associates Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5415 W Genesee St, Suite 301, Camillus, NY 13031
Phone: 315-487-8109    Fax: 315-487-5680

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.