<unavail> in Albany, NY - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Albany, New York. The current practice location for is 418 Broadway Ste R, Albany, New York. For appointments, you can reach them via phone at (646) 907-9994. The mailing address for is 418 Broadway Ste R, Albany, New York and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760263354. 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 (646) 907-9994.

Contact Information


	418 Broadway Ste R Albany NY 12207-2922
	(646) 907-9994
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	418 Broadway Ste R, Albany, New York
Authorized Official Name and Position	Chenelle Grant (PROVIDER)
Authorized Official Contact	6469079994
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
418 Broadway Ste R Albany NY 12207-2922 Ph: () -	418 Broadway Ste R Albany NY 12207-2922 Ph: (646) 907-9994

NPI Details:

NPI Number	1760263354
Provider Enumeration Date	10/10/2023
Last Update Date	12/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	6204362239
Medicare Enrollment ID	O20241213000385

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760263354	NPI	-	NPPES
1376028514	Medicaid	NY
1801441399	Medicaid	NY
1750806204	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (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. acts as a billing entity for following providers:

Provider Name	Chenelle Grant
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1801441399 PECOS PAC ID: 8820420813 Enrollment ID: I20191113000187

Reviews and Comments

Family Medicine in Albany, NY

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- Medicare Primary Care in Albany, NY