Mr Clay J Vandoren, DO - Medicare Internal Medicine in Cortland, NY

Mr Clay J Vandoren, DO is a medicare enrolled "Internal Medicine" physician in Cortland, New York. His current practice location is 134 Homer Ave, Cortland, New York. You can reach out to his office (for appointments etc.) via phone at (607) 428-5074.

Mr Clay J Vandoren is licensed to practice in New York (license number 194911-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437171113.

Contact Information

Mr Clay J Vandoren, DO
134 Homer Ave,
Cortland, NY 13045-1206
(607) 428-5074
(607) 428-5077



Physician's Profile

Full NameMr Clay J Vandoren
GenderMale
SpecialityInternal Medicine
Location134 Homer Ave, Cortland, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437171113
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 06/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6002994019
  • Enrollment ID: I20080416000269

Medical Identifiers

Medical identifiers for Mr Clay J Vandoren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437171113NPI-NPPES
01821916MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 194911-1 (New York)Primary

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. Mr Clay J Vandoren allows following entities to bill medicare on his behalf.
Entity NameSoldiers & Sailors Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043353618
PECOS PAC ID: 0446164255
Enrollment ID: O20031117000348

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Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644

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Entity NameClifton Springs Sanitarium Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366505463
PECOS PAC ID: 5092704809
Enrollment ID: O20040525000569

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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. Mr Clay J Vandoren 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
Mr Clay J Vandoren, DO
134 Homer Ave,
Cortland, NY 13045-1206

Ph: (607) 428-5074
Mr Clay J Vandoren, DO
134 Homer Ave,
Cortland, NY 13045-1206

Ph: (607) 428-5074

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Internal Medicine Doctors in Cortland, NY

Dr. Ngozi C Mezu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 134 Homer Ave, Cortland, NY 13045
Phone: 607-428-2800    Fax: 607-428-2803
Dr. Stuart William Gillim, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1969 Timmerman Hill Rd., Cortland, NY 13045
Phone: 607-835-6570    
Dr. Elyn L Ring, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 Euclid Ave, Cortland, NY 13045
Phone: 607-756-4974    
Taseer Ahmad Cheema, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 134 Homer Ave, Cortland, NY 13045
Phone: 607-428-5074    Fax: 607-758-8210
Dr. Jared Michael Widell, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Guthrie Cortland Medical Center, 134 Homer Avenue, Cortland, NY 13045
Phone: 607-756-3561    Fax: 607-756-3562
Dr. Paula A Gauss, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 Euclid Ave, Cortland, NY 13045
Phone: 607-756-4974    

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