Lawrence Raymond Shoemaker, MD - Medicare Pediatric Medicine in Syracuse, NY

Lawrence Raymond Shoemaker, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Syracuse, New York. He went to Vanderbilt University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Florida Clinical Practice Association and his current practice location is 725 Irving Ave, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-6340.

Lawrence Raymond Shoemaker is licensed to practice in New York (license number 264373) 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 1063496594.

Contact Information

Lawrence Raymond Shoemaker, MD
725 Irving Ave,
Syracuse, NY 13210-1603
(315) 464-6340
(315) 464-6329



Physician's Profile

Full NameLawrence Raymond Shoemaker
GenderMale
SpecialityPediatric Medicine
Experience38 Years
Location725 Irving Ave, Syracuse, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lawrence Raymond Shoemaker attended and graduated from Vanderbilt University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1063496594
  • Provider Enumeration Date: 11/29/2005
  • Last Update Date: 09/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1355331679
  • Enrollment ID: I20140826001342

Medical Identifiers

Medical identifiers for Lawrence Raymond Shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063496594NPI-NPPES
012296800MedicaidFL
64252711MedicaidKY
03427103MedicaidNY
200111660MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0210XPediatrics - Pediatric Nephrology 264373 (New York)Primary
208000000XPediatrics 35271 (Kentucky)Secondary
2080P0210XPediatrics - Pediatric Nephrology 35271 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uf Health Shands HospitalGainesville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Clinical Practice Association03451462541636

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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. Lawrence Raymond Shoemaker allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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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. Lawrence Raymond Shoemaker 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 AddressPractice Location Address
Lawrence Raymond Shoemaker, MD
725 Irving Ave,
Syracuse, NY 13210-1603

Ph: (315) 464-6340
Lawrence Raymond Shoemaker, MD
725 Irving Ave,
Syracuse, NY 13210-1603

Ph: (315) 464-6340

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Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210
Phone: 315-470-7379    Fax: 315-470-2923
Dr. David William Hansen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214
Phone: 315-464-5726    Fax: 315-464-2510
Dr. Audrey Victoria Vandewall, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-408-5854    
Shauna Thariath, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210
Phone: 315-464-5831    Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 750 East Adam St, Syracuse, NY 13210
Phone: 315-464-6323    Fax: 315-464-6322
Megan A Pinnamaneni, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-464-5420    
Steven David Blatt, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210
Phone: 315-464-5831    Fax: 315-464-2030

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