Individual provider Active NPI

Lynn Beth Satterly

  • Family Medicine Physician
  • Syracuse, NY
National Provider Identifier
1992747760
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204918 Issued in NY
Practice address
475 Irving Ave
Ste 200
Syracuse, NY 13210-1756
Phone
(315) 464-4686
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204918 NY Primary

Addresses

Primary practice location

475 Irving Ave
Ste 200
Syracuse, NY 13210-1756

Mailing address

475 Irving Ave
Ste 200
Syracuse, NY 13210-1756
Phone (315) 464-4686

Other identifiers 1

IdentifierTypeStateIssuer
01732567MedicaidNY

Other names 1

  • Lynn Beth Schwarz Other name

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
I20061106000043 NY Practitioner - Family Practice 0143227116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Resources IncGroup PAC ID 4486703352, 82 clinicians

Practice addresses (Care Compare)

1045 James St
Syracuse, NY 13203-2730
Phone 31547244711384

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Resources Inc. Current Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Liberty Resources Inc. CurrentSince Feb 1, 2024 Accepting new patients
Liberty Resources, Inc. CurrentSince Feb 1, 2024 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
Liberty Resources, Inc. Past Accepting new patients
Upstate Family and Preventive Medicine, Inc Family Medicine PastSince Mar 5, 2016 Accepting new patients
Lakeshore Family Medicine, P.C. Past Accepting new patients
Cny Internists, PC PastSince Oct 2, 1996 Accepting new patients
Onondaga Pastoral Counseling Center Past Accepting new patients

Locations

6221 State Route 31
Ste 108
Cicero, NY 13039
Phone (315) 699-5982

4103 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7800

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

Interoperability endpoints

  • Direct secure messaging: drlsatterly@hiemail.healtheconnections.org
  • Direct secure messaging: lynnbeth.satterly.p1@direct.liberty-resources.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1992747760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-464-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-464-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERLY",
        "first_name": "LYNN",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01732567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "SCHWARZ",
            "middle_name": "BETH",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.