Dr Timothy S Derenzo, MD in Albany, NY - Medicare Family Practice

Dr Timothy S Derenzo, MD is a medicare enrolled "Family Medicine" physician in Albany, New York. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Samaritan Hospital Of Troy, New York and his current practice location is 63 Shaker Rd, Suite G02, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 449-5352.

Dr Timothy S Derenzo is licensed to practice in New York (license number 244547) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629272059.

Contact Information

	Dr Timothy S Derenzo, MD
	63 Shaker Rd, Suite G02, Albany, NY 12204-1030
	(518) 449-5352
	(518) 449-5364

Physician's Profile

Full Name	Dr Timothy S Derenzo
Gender	Male
Speciality	Family Practice
Experience	20 Years
Location	63 Shaker Rd, Albany, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy S Derenzo graduated from medical school in 2004

NPI Data:

NPI Number: 1629272059
Provider Enumeration Date: 06/11/2007
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 7416044284
Enrollment ID: I20071026000373

Medical Identifiers

Medical identifiers for Dr Timothy S Derenzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629272059	NPI	-	NPPES
02918981	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	244547 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Hospital	Troy, NY	Hospital
St Peter's Hospital	Albany, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Samaritan Hospital Of Troy, New York	6507770070	180

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Timothy S Derenzo allows following entities to bill medicare on his behalf.

Entity Name	Samaritan Hospital Of Troy, New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782

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Entity Name	Memorial Hospital, Albany N.y.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801837539 PECOS PAC ID: 1052203312 Enrollment ID: O20040330000224

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy S Derenzo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Timothy S Derenzo, MD Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634	Dr Timothy S Derenzo, MD 63 Shaker Rd, Suite G02, Albany, NY 12204-1030 Ph: (518) 449-5352

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Family Medicine Doctors in Albany, NY

Dr. Terrence Flannery, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Patroon Creek Blvd, Albany, NY 12206 Phone: 518-641-3217 Fax: 518-641-3209
Pascuala C Reyes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5000
Dr. Lorelei A Michels, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 638 Western Ave, Albany, NY 12203 Phone: 518-763-3312 Fax: 518-489-4040
David A Robinson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 315 S Manning Blvd, @ St. Peter's Hospital Er Dept., Albany, NY 12208 Phone: 518-525-1324 Fax: 518-383-4223
Dr. Peter Alexander Vellis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Washington Ave, Albany, NY 12222 Phone: 518-442-5461 Fax: 518-442-5444
Dr. Dan Richard Tobin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-6125
Jonathan Peter Teubl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1550

Dr Timothy S Derenzo, MD - Medicare Family Practice in Albany, NY

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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QuadraMed's stockholders approve Agreement and Plan of Merger formed by Francisco Partners

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Medicare Reassignments

Registration for 2010 Siemens Competition in Math, Science & Technology opens

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eRelevance completes integration with Nextech for Plastic Surgery and Dermatology practices

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Registration for 2010 Siemens Competition in Math, Science & Technology opens

QuadraMed's stockholders approve Agreement and Plan of Merger formed by Francisco Partners

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Family Medicine Doctors in Albany, NY