Andrew Wight, MD
Individual provider Active NPI Family Medicine Physician · Vernon, NY
NPI 1992116404 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1992116404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 287469-1 (NY)
- Practice address
- 3 Curtis Rd
Vernon, NY 13476-3607 - Phone
- (315) 829-2220
- Fax
- (315) 829-3955
- NPI assigned
- May 19, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oneida Medical Practice PC
Practice addresses (Care Compare)
125 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2205
139 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2385
301 Genesee St
Oneida, NY 13421-2644
301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377
Hospital & facility affiliations
- Hospice and Palliative Care Inc New Hartford
- Oneida Health Hospital
- Wynn Hospital
- Rome Memorial Hospital, Inc
- University Hospital S U N Y Health Science Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170811002655 | NY | Practitioner - Family Practice | 1456622299 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287469-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida Health Systems, Inc | Current |
Accepting new patients | |
| Oneida Medical Practice, PC | Current |
Accepting new patients | |
| Oneida Medical Practice, PC | Current |
Accepting new patients | |
| Oneida Health Systems, Inc. | Current |
Accepting new patients |
Locations
7137 Mount Pleasant Rd
Canastota, NY 13032
Phone (315) 697-2033
301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
Interoperability endpoints
- awight@ompohc.medentdirect.com
- awight@trivalleyfamilypractice.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 287469-1 | NY | Yes |
Addresses
Primary practice location
3 Curtis Rd
Vernon, NY 13476-3607
Mailing address
3 Curtis Rd
Vernon, NY 13476-3607
Phone (315) 829-2220
Other practice location 1
7137 Mt Pleasant Rd
Canastota, NY 13032-5024
Phone (315) 697-2033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04848624 | Medicaid | NY |
Other providers in Vernon, NY
- Suzanne Lee Treen
- Trivalley Family Practice PLLC
- U & I Inc., USA
- Antoinette Marie Vanderlan
- Judi M Vaughn
All providers in Vernon, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.