Gina Rae Amicaterra, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

NS006779-1 Issued in NY

Practice address

455 Maple St
Suite 2
Big Flats, NY 14814-9701

Phone

(607) 562-7300

Fax

(607) 562-7575

NPI assigned

May 1, 2013

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gina Rae Fredericks Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Specialists of the Twin Tiers, P. C.Group PAC ID 7315953734, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corning Hospital Hospital, Corning, NY, CCN 330277
• Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
• Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gamicaterra26515@direct.xtensys.com

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

• Foot and Ankle Specialists of the Twin Tiers, P. C.

  • Podiatrist
  • Big Flats, NY
  • NPI 1356316947

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD

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

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Care Compare affiliation
• Corning Hospital

  • General Acute Care Hospital
  • Corning, NY
  • NPI 1346241973
  Care Compare affiliation
• Robert Packer Hospital

  • General Acute Care Hospital
  • Sayre, PA
  • NPI 1083614382
  Care Compare affiliation
• Robert Packer Hospital

  dba Robert Packer Hospital, Towanda Campus

  • General Acute Care Hospital
  • Towanda, PA
  • NPI 1134734528
  Care Compare affiliation

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1134564354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MAPLE ST",
            "address_2": "SUITE 2",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-562-7300",
            "fax_number": "607-562-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAPLE ST",
            "address_2": "SUITE 2",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-562-7300",
            "fax_number": "607-562-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICATERRA",
        "first_name": "GINA",
        "middle_name": "RAE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "NS006779-1",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PW",
            "license": "SC006714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "FREDERICKS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David A Arkin, DPM
• Chad A Batzing, DPM
• Taylor J Bellinger, PA
• Big Flats Family Medicine
• Big Flats Primary Care

• Foot & Ankle Surgery Podiatrist in Big Flats, NY
• Providers in Big Flats, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.