- Medicare Primary Care in Lyndonville, NY

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lyndonville, New York. The current practice location for is 77 S Main St, Lyndonville, New York. For appointments, you can reach them via phone at (585) 765-2060. The mailing address for is 300 West Ave, Brockport, New York and phone number is (585) 637-3905.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407189582. 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 (585) 765-2060.

Contact Information

77 S Main St
Lyndonville
NY 14098-9771
(585) 765-2060
(585) 765-2067

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location77 S Main St, Lyndonville, New York
Authorized Official Name and PositionMary Ann Pettibon (CEO)
Authorized Official Contact5856373905
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

300 West Ave
Brockport
NY 14420-1118

Ph: (585) 637-3905
77 S Main St
Lyndonville
NY 14098-9771

Ph: (585) 765-2060

NPI Details:

NPI Number1407189582
Provider Enumeration Date09/08/2009
Last Update Date07/09/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5496746927
Medicare Enrollment IDO20090916000658

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407189582NPI-NPPES
00355308MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QM1000XClinic/center - Migrant Health (* (Not Available))Secondary

Reviews and Comments


Clinic/Center in Lyndonville, NY

David S Bell Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 77 S Main St., Lyndonville, NY 14098
Phone: 585-765-2060    Fax: 585-765-2067

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.