Oswego Health Medical Practice - Medicare Primary Care in Oswego, NY

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Oswego Health Medical Practice is a medicare enrolled primary clinic (Internal Medicine) in Oswego, New York. The current practice location for Oswego Health Medical Practice is 110 W 6th St, Oswego, New York. For appointments, you can reach them via phone at (315) 349-5511. The mailing address for Oswego Health Medical Practice is 110 W 6th St, Oswego, New York and phone number is (315) 349-5511.

Oswego Health Medical Practice is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073868113. 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 (315) 349-5511.

Contact Information

Oswego Health Medical Practice
110 W 6th St
Oswego
NY 13126-2507
(315) 349-5511
(315) 736-2162

Map and Direction


Primary Care Clinic Profile

Full NameOswego Health Medical Practice
SpecialityInternal Medicine
Location110 W 6th St, Oswego, New York
Authorized Official Name and PositionDuane Tull (DIRECTOR)
Authorized Official Contact3153495511
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oswego Health Medical Practice
110 W 6th St
Oswego
NY 13126-2507

Ph: (315) 349-5511		Oswego Health Medical Practice
110 W 6th St
Oswego
NY 13126-2507

Ph: (315) 349-5511

NPI Details:

NPI Number1073868113
Provider Enumeration Date07/16/2012
Last Update Date06/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9032367453
Medicare Enrollment IDO20120910000593

Medical Identifiers

Medical identifiers for Oswego Health Medical Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073868113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208800000XUrology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Oswego Health Medical Practice acts as a billing entity for following providers:
Provider NameCarlos O Dator
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447271259
PECOS PAC ID: 7618965294
Enrollment ID: I20040505000236
Provider NameNorman D Jaffe
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386630549
PECOS PAC ID: 6709771199
Enrollment ID: I20040524000924
Provider NameMicheal D Stephens
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1659317980
PECOS PAC ID: 7315849031
Enrollment ID: I20040528000967
Provider NameSurianarayanan Karthikeyan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1881725836
PECOS PAC ID: 3476532771
Enrollment ID: I20040720000024
Provider NameRaman Dhawan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1972562155
PECOS PAC ID: 0143277566
Enrollment ID: I20051130000688
Provider NameJeffrey M Desimone
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699726737
PECOS PAC ID: 8820019631
Enrollment ID: I20051208000288
Provider NameTaewan Kim
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1992757421
PECOS PAC ID: 0042233702
Enrollment ID: I20060109000419
Provider NameVandana B Patil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285735027
PECOS PAC ID: 0244334845
Enrollment ID: I20070409000048
Provider NameDouglas Guenter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659450989
PECOS PAC ID: 5294826293
Enrollment ID: I20070806000394
Provider NameKenneth A Cooper
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518166289
PECOS PAC ID: 7214021286
Enrollment ID: I20070921000041
Provider NameThomas A Grady
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962400754
PECOS PAC ID: 2860387065
Enrollment ID: I20080428000202
Provider NameShannon L Zinn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578729448
PECOS PAC ID: 1355400268
Enrollment ID: I20081107000008
Provider NameHoward M Simon
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497709505
PECOS PAC ID: 3072655851
Enrollment ID: I20100115000625
Provider NameMichael R Diaz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780646216
PECOS PAC ID: 2466595145
Enrollment ID: I20100203000270
Provider NameAjoy K Roy
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1487633400
PECOS PAC ID: 8628037587
Enrollment ID: I20100315000655
Provider NameRayees Nizam
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1154375087
PECOS PAC ID: 4082664537
Enrollment ID: I20100512000773
Provider NameMark A Humphrey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831126648
PECOS PAC ID: 4880785807
Enrollment ID: I20100804000274
Provider NameJoan Newell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487829503
PECOS PAC ID: 0042489817
Enrollment ID: I20110811000728
Provider NameBishnu Sapkota
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1366740698
PECOS PAC ID: 9931378619
Enrollment ID: I20110815000443
Provider NameMelanie Lynn Groch
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1619979374
PECOS PAC ID: 9234161647
Enrollment ID: I20130909000778
Provider NameNicholas R Groch
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1922031004
PECOS PAC ID: 1052314994
Enrollment ID: I20130927000059
Provider NameRyan M Walker
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558568170
PECOS PAC ID: 3173740909
Enrollment ID: I20140819000034
Provider NameJai Prakash Singh
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1588099451
PECOS PAC ID: 0840411138
Enrollment ID: I20141030001604
Provider NameRobert W Beaumont
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740662915
PECOS PAC ID: 4688982275
Enrollment ID: I20151001000259
Provider NamePeter Lacell
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1225484140
PECOS PAC ID: 4284927393
Enrollment ID: I20160727001765
Provider NameJoselito Ouano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831152578
PECOS PAC ID: 2860464690
Enrollment ID: I20160819001133
Provider NameLisa M Lai
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1003135310
PECOS PAC ID: 7416268982
Enrollment ID: I20161003000154
Provider NameAlicia M Olsen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1164876702
PECOS PAC ID: 4385922830
Enrollment ID: I20161103001050
Provider NameKamaljeet Singh Banga
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1275075327
PECOS PAC ID: 9436439379
Enrollment ID: I20161209001532
Provider NameKathleen Anne Burch
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1891891578
PECOS PAC ID: 9537444849
Enrollment ID: I20170329002279
Provider NameDavid Bass
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1497045900
PECOS PAC ID: 0244457752
Enrollment ID: I20180730003326
Provider NameJustin Raymond Beebe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285128314
PECOS PAC ID: 5799034054
Enrollment ID: I20180820001551
Provider NameOsama Essa
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1871896597
PECOS PAC ID: 8123329893
Enrollment ID: I20181217000161
Provider NameDeirdre Wahl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700366192
PECOS PAC ID: 9537404116
Enrollment ID: I20181231001825
Provider NameDuane F Tull
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225073976
PECOS PAC ID: 1951307644
Enrollment ID: I20190112000058
Provider NameMarilyn A Buckley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316419112
PECOS PAC ID: 7911244082
Enrollment ID: I20190128001507
Provider NameAndrew Rogall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689025710
PECOS PAC ID: 9133414139
Enrollment ID: I20191025000970
Provider NameMeaghan Primm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992259451
PECOS PAC ID: 2163701343
Enrollment ID: I20191029002243
Provider NameMohammad Fahad Ali
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1710248471
PECOS PAC ID: 5092148932
Enrollment ID: I20191206000082
Provider NameRuth Vasquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629696224
PECOS PAC ID: 2264842277
Enrollment ID: I20201103001498
Provider NameJeffrey Strain
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629036272
PECOS PAC ID: 4789654591
Enrollment ID: I20201130002567
Provider NameRewati Bhattarai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215545157
PECOS PAC ID: 2567858632
Enrollment ID: I20220330001148
Provider NameSamantha Goutermout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114657228
PECOS PAC ID: 7618350893
Enrollment ID: I20220822000854
Provider NameJill Gilman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396463725
PECOS PAC ID: 0244616043
Enrollment ID: I20221003000312
Provider NameRuth Mary Guzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346960556
PECOS PAC ID: 3476921628
Enrollment ID: I20221121000806
Provider NameShawnna Ann Nye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588392930
PECOS PAC ID: 2264806777
Enrollment ID: I20230324000870
Provider NameHannah Grace Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659081297
PECOS PAC ID: 8527424647
Enrollment ID: I20230516002030
Provider NameEyal Kord
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1316612609
PECOS PAC ID: 8224426580
Enrollment ID: I20231012001127
Provider NameSharon Ann Snover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972663417
PECOS PAC ID: 5193176303
Enrollment ID: I20240111002364
Provider NameJamie Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104608595
PECOS PAC ID: 2264879790
Enrollment ID: I20240320001464

Reviews and Comments


Internal Medicine in Oswego, NY

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Oswego Medical Consultants Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 110 W 6th St, Oswego, NY 13126
Phone: 315-342-4768    

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.