Eden Primary Care is a medicare enrolled primary clinic (Internal Medicine) in Eden, New York. The current practice location for Eden Primary Care is 8274 N Main St, Eden, New York. For appointments, you can reach them via phone at
(716) 725-8114. The mailing address for Eden Primary Care is 8274 N Main St, Eden, New York and phone number is () -.
Eden Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1154071934. 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) 725-8114.
Primary Care Clinic Profile
| Full Name | Eden Primary Care |
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| Speciality | Internal Medicine |
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| Location | 8274 N Main St, Eden, New York |
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| Authorized Official Name and Position | Brigid O'gorman (OWNER) |
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| Authorized Official Contact | 7165757282 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Eden Primary Care
8274 N Main St
Eden
NY 14057-1104
Ph: () - | Eden Primary Care
8274 N Main St
Eden
NY 14057-1104
Ph: (716) 725-8114 |
NPI Details:
| NPI Number | 1154071934 |
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| Provider Enumeration Date | 03/25/2022 |
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| Last Update Date | 08/06/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2860870318 |
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| Medicare Enrollment ID | O20220613000571 |
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Medical Identifiers
Medical identifiers for Eden Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154071934 | NPI | - | NPPES |
| 301295 | Other | NY | NYS MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eden Primary Care acts as a billing entity for following providers:
| Provider Name | Brigid D O'gorman |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1851889992
PECOS PAC ID: 0042564288
Enrollment ID: I20220613000624 |
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