Lakeshore Family Medicine Assoc Pc - Medicare Primary Care in Derby, NY

Lakeshore Family Medicine Assoc Pc is a medicare enrolled primary clinic (Family Medicine) in Derby, New York. The current practice location for Lakeshore Family Medicine Assoc Pc is 7060 Erie Rd, Derby, New York. For appointments, you can reach them via phone at (716) 947-0408. The mailing address for Lakeshore Family Medicine Assoc Pc is 7060 Erie Rd, Derby, New York and phone number is (716) 947-0408.

Lakeshore Family Medicine Assoc Pc is licensed to practice in New York (license number 154802). The clinic also participates in the medicare program and its NPI number is 1295832418. 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) 947-0408.

Contact Information

Lakeshore Family Medicine Assoc Pc
7060 Erie Rd
Derby
NY 14047-9306
(716) 947-0408
(716) 947-0413

Map and Direction


Primary Care Clinic Profile

Full NameLakeshore Family Medicine Assoc Pc
SpecialityFamily Medicine
Location7060 Erie Rd, Derby, New York
Authorized Official Name and PositionCraig K Maclean (PRESIDENT)
Authorized Official Contact7169474851
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeshore Family Medicine Assoc Pc
7060 Erie Rd
Derby
NY 14047-9306

Ph: (716) 947-0408
Lakeshore Family Medicine Assoc Pc
7060 Erie Rd
Derby
NY 14047-9306

Ph: (716) 947-0408

NPI Details:

NPI Number1295832418
Provider Enumeration Date09/20/2006
Last Update Date07/30/2008

Medicare PECOS Information:

Medicare PECOS PAC ID8527031988
Medicare Enrollment IDO20040816000131

Medical Identifiers

Medical identifiers for Lakeshore Family Medicine Assoc Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295832418NPI-NPPES
02288315MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 154802 (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. Lakeshore Family Medicine Assoc Pc acts as a billing entity for following providers:
Provider NameTariq A Sheikh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891799656
PECOS PAC ID: 2961475314
Enrollment ID: I20040816000064
Provider NameHenna Sheikh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477887560
PECOS PAC ID: 6204974801
Enrollment ID: I20091118000429
Provider NameMorris M Cavalieri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114921947
PECOS PAC ID: 2668659145
Enrollment ID: I20110609000483
Provider NameSarah E Scullion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922624725
PECOS PAC ID: 7214356237
Enrollment ID: I20200924001903
Provider NameMiranda Braner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962000307
PECOS PAC ID: 2365857984
Enrollment ID: I20210212000459
Provider NameSunghoon Jung
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184209686
PECOS PAC ID: 2466851662
Enrollment ID: I20210520000108
Provider NameDebbie Opoku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720622046
PECOS PAC ID: 4486045937
Enrollment ID: I20211217000537

Reviews and Comments


Family Medicine in Derby, NY

Caro Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047
Phone: 716-947-9147    Fax: 716-947-5175
Harrity Optical Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6913 Erie Rd, Derby, NY 14047
Phone: 716-947-9992    

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.