Canalside Primary Care Pc - Medicare Primary Care in North Tonawanda, NY

Canalside Primary Care Pc is a medicare enrolled primary clinic (Family Medicine) in North Tonawanda, New York. The current practice location for Canalside Primary Care Pc is 43 Niagara St, North Tonawanda, New York. For appointments, you can reach them via phone at (716) 690-2001. The mailing address for Canalside Primary Care Pc is 908 Niagara Falls Blvd Ste 208, North Tonawanda, New York and phone number is (716) 692-3302.

Canalside Primary Care Pc is licensed to practice in New York (license number 229399). The clinic also participates in the medicare program and its NPI number is 1174651046. 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 (716) 690-2001.

Contact Information

Canalside Primary Care Pc
43 Niagara St
North Tonawanda
NY 14120-6115
(716) 690-2001
(716) 690-2239

Map and Direction


Primary Care Clinic Profile

Full NameCanalside Primary Care Pc
SpecialityFamily Medicine
Location43 Niagara St, North Tonawanda, New York
Authorized Official Name and PositionLynne Susan Ross (OWNER)
Authorized Official Contact7166902001
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Canalside Primary Care Pc
908 Niagara Falls Blvd Ste 208
North Tonawanda
NY 14120-2019

Ph: (716) 692-3302
Canalside Primary Care Pc
43 Niagara St
North Tonawanda
NY 14120-6115

Ph: (716) 690-2001

NPI Details:

NPI Number1174651046
Provider Enumeration Date03/01/2007
Last Update Date12/26/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0840381984
Medicare Enrollment IDO20070803000477

Medical Identifiers

Medical identifiers for Canalside Primary Care Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174651046NPI-NPPES
02494544MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 229399 (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. Canalside Primary Care Pc acts as a billing entity for following providers:
Provider NameLynne S Ross
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154388049
PECOS PAC ID: 5395704852
Enrollment ID: I20041008001004

Reviews and Comments


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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.