Erika Connor, Llp is a medicare enrolled primary clinic (Family Medicine) in Randolph, New York. The current practice location for Erika Connor, Llp is 111 Main St, Randolph, New York. For appointments, you can reach them via phone at
(716) 358-2340. The mailing address for Erika Connor, Llp is 111 Main St, Randolph, New York and phone number is (716) 358-2340.
Erika Connor, Llp is licensed to practice in New York (license number 172279). The clinic also participates in the medicare program and its
NPI number is 1639240278. 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) 358-2340.
Primary Care Clinic Profile
| Full Name | Erika Connor, Llp |
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| Speciality | Family Medicine |
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| Location | 111 Main St, Randolph, New York |
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| Authorized Official Name and Position | Erika Connor (PRESIDENT) |
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| Authorized Official Contact | 7163582340 |
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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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Erika Connor, Llp
111 Main St
Randolph
NY 14772-1131
Ph: (716) 358-2340 | Erika Connor, Llp
111 Main St
Randolph
NY 14772-1131
Ph: (716) 358-2340 |
NPI Details:
| NPI Number | 1639240278 |
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| Provider Enumeration Date | 11/13/2006 |
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| Last Update Date | 01/12/2017 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9436284486 |
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| Medicare Enrollment ID | O20100317000010 |
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Medical Identifiers
Medical identifiers for Erika Connor, Llp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639240278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 172279 (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.
Erika Connor, Llp acts as a billing entity for following providers:
| Provider Name | Erika Connor |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1336136274
PECOS PAC ID: 6608901657
Enrollment ID: I20100317000023 |
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