Individual provider Active NPI

Michele Mannion, M.D.

  • Internal Medicine Physician
  • Brewster, NY
National Provider Identifier
1083896906
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258261 Issued in NY
Practice address
3423 Danbury Rd
Brewster, NY 10509-4513
Phone
(845) 279-7200
Fax
(845) 279-8856
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 060646597 CT
Internal Medicine Physician 207R00000X 258261 NY Primary

Addresses

Primary practice location

3423 Danbury Rd
Brewster, NY 10509-4513

Mailing address

3423 Danbury Rd
Brewster, NY 10509-4513
Phone (845) 279-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000199 NY Practitioner - Internal Medicine 0648464743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

285 County Route 47
Saranac Lake, NY 12983-5403
Phone (518) 897-2850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258261NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center CurrentSince Mar 30, 2022 Accepting new patients
Adirondack Medical Center Internal Medicine CurrentSince Mar 30, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine PastSince Oct 19, 2020 Accepting new patients

Locations

2841 Nys Route 73
Keene, NY 12942
Phone (518) 576-9326

203 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-1327

29 Church St
Lake Placid, NY 12946
Phone (518) 523-1122

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

285 County Route 47
Saranac Lake, NY 12983
Phone (518) 897-2800

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Interoperability endpoints

  • Direct secure messaging: michele.mannion@ah.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1083896906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 DANBURY RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094513",
            "telephone_number": "845-279-7200",
            "fax_number": "845-279-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 DANBURY RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094513",
            "telephone_number": "845-279-7200",
            "fax_number": "845-279-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNION",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "060646597",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.