Empire Wound Physician Services, Pllc - Medicare Primary Care in Liberty, NY

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Empire Wound Physician Services, Pllc is a medicare enrolled primary clinic (General Practice) in Liberty, New York. The current practice location for Empire Wound Physician Services, Pllc is 170 Lake St, Liberty, New York. For appointments, you can reach them via phone at (216) 273-9800. The mailing address for Empire Wound Physician Services, Pllc is 6150 Parkland Blvd Ste 225, Mayfield Heights, Ohio and phone number is (216) 273-9800.

Empire Wound Physician Services, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093130742. 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 (216) 273-9800.

Contact Information

Empire Wound Physician Services, Pllc
170 Lake St
Liberty
NY 12754-1966
(216) 273-9800
(216) 273-9998

Map and Direction


Primary Care Clinic Profile

Full NameEmpire Wound Physician Services, Pllc
SpecialityGeneral Practice
Location170 Lake St, Liberty, New York
Authorized Official Name and PositionIlana Weisberg (DIRECTOR OF FINANCE)
Authorized Official Contact2165341775
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Empire Wound Physician Services, Pllc
6150 Parkland Blvd Ste 225
Mayfield Heights
OH 44124-4103

Ph: (216) 273-9800		Empire Wound Physician Services, Pllc
170 Lake St
Liberty
NY 12754-1966

Ph: (216) 273-9800

NPI Details:

NPI Number1093130742
Provider Enumeration Date03/04/2014
Last Update Date12/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6406170497
Medicare Enrollment IDO20150122001257

Medical Identifiers

Medical identifiers for Empire Wound Physician Services, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093130742NPI-NPPES
04025343MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. Empire Wound Physician Services, Pllc acts as a billing entity for following providers:
Provider NameEdward P O Brien
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053379420
PECOS PAC ID: 5395644744
Enrollment ID: I20040105000513
Provider NameAvner Reggev
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972611614
PECOS PAC ID: 4486556412
Enrollment ID: I20040121000892
Provider NameDavid Allen Gilmore
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346328911
PECOS PAC ID: 1951290469
Enrollment ID: I20040312000760
Provider NameNeeraj Goswamy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780793604
PECOS PAC ID: 3375435779
Enrollment ID: I20040329001590
Provider NameBeverly C Prince
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1912973314
PECOS PAC ID: 9335110980
Enrollment ID: I20040805000616
Provider NameDuane A Fredericks
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184618886
PECOS PAC ID: 1254350648
Enrollment ID: I20051115000580
Provider NameRobert Santopietro
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467482620
PECOS PAC ID: 5799708798
Enrollment ID: I20060105000086
Provider NameRobert J Weiss
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053306654
PECOS PAC ID: 4981617891
Enrollment ID: I20060719000120
Provider NameMarthe A Gabey
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1194767558
PECOS PAC ID: 0345249322
Enrollment ID: I20061221000125
Provider NameAlberto Gaitan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841357613
PECOS PAC ID: 3678678273
Enrollment ID: I20070410000218
Provider NameJohn A Babalola
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1487613626
PECOS PAC ID: 6507938032
Enrollment ID: I20080627000584
Provider NameMathew George
Provider TypePractitioner - Peripheral Vascular Disease
Provider IdentifiersNPI Number: 1407961758
PECOS PAC ID: 8820166960
Enrollment ID: I20081002000564
Provider NameRalph P Ferenchak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881826956
PECOS PAC ID: 3274675830
Enrollment ID: I20100120000086
Provider NameDavid Craig Dreyfuss
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053384297
PECOS PAC ID: 1254238868
Enrollment ID: I20110207000090
Provider NameWilder Shaw Rucker
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1235403742
PECOS PAC ID: 9638314289
Enrollment ID: I20130402000146
Provider NameFarah Sajid
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386881985
PECOS PAC ID: 1355580333
Enrollment ID: I20130624000506
Provider NameElizabeth Jane Hoover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902159551
PECOS PAC ID: 6406098318
Enrollment ID: I20130806000203
Provider NameRyan J Hawley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396997524
PECOS PAC ID: 6406098995
Enrollment ID: I20130813000521
Provider NameMark R Johnston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619175460
PECOS PAC ID: 9133343908
Enrollment ID: I20140617002539
Provider NameRyan M Walker
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558568170
PECOS PAC ID: 3173740909
Enrollment ID: I20140819000034
Provider NameDaniel Borison
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1669423836
PECOS PAC ID: 9234132051
Enrollment ID: I20150313002127
Provider NameYumie Nishida Burden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467691709
PECOS PAC ID: 1951559285
Enrollment ID: I20160210001854
Provider NameChristina Keith Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194762104
PECOS PAC ID: 5092744938
Enrollment ID: I20160802000704
Provider NameJoshua M Rubinstein
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184723538
PECOS PAC ID: 3779862305
Enrollment ID: I20161122001142
Provider NameKristen M Mallon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982159752
PECOS PAC ID: 6709166770
Enrollment ID: I20161208001239
Provider NameCaroline A D' Souza
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164541066
PECOS PAC ID: 3173603354
Enrollment ID: I20170224001420
Provider NameRohit T. Repala
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457617169
PECOS PAC ID: 3274830203
Enrollment ID: I20170831002447
Provider NameEnaame L Farrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649539594
PECOS PAC ID: 8921375205
Enrollment ID: I20170918000113
Provider NameRaymond Cordi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679986756
PECOS PAC ID: 4688004617
Enrollment ID: I20200415001789
Provider NameAnna-marie Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518418136
PECOS PAC ID: 5799069597
Enrollment ID: I20200918002002
Provider NameLorne Michael Freedman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255864393
PECOS PAC ID: 8628315991
Enrollment ID: I20201223000974
Provider NameAbdulraouf Yousef Lamoshi
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1417331919
PECOS PAC ID: 0042625642
Enrollment ID: I20210211003168
Provider NameMagid Keramati
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1750584371
PECOS PAC ID: 4880730399
Enrollment ID: I20220517002074
Provider NameLinda Gretel Mueller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942322698
PECOS PAC ID: 1456739259
Enrollment ID: I20220607002881
Provider NameJohn A Adib
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1588001655
PECOS PAC ID: 1557723376
Enrollment ID: I20230810003182

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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.