MEDICARE: DR. MICHAEL W. BELIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	138408	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	180038979	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000406594003	OTHER	NY	BLUE SHIELD
2	0074692	OTHER	NY	GHI INDEMNITY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	17382	OTHER	NY	MVP
6	MB044Z3610	OTHER	NY	EMPIRE BC/BS
7	050304000039	OTHER	NY	FIDELIS
8	10010091	OTHER	NY	CDPHP
10	000000050847	OTHER	NY	GHI HMO
11	141811796	OTHER	NY	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1205838125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL W. BELIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 298
Second Line	:
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-0298
Country	:	US
Telephone Number	:	518-475-1515
Fax Number	:	518-475-0645

Provider Business Practice Location Address
First Line	:	1220 NEW SCOTLAND RD
Second Line	:	SUITE 101
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-9208
Country	:	US
Telephone Number	:	518-475-1515
Fax Number	:	518-475-0645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	06/19/2008

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