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LYDIA MANELA RAFFERTY MD
NPI 1649857384
Student in an Organized Health Care Education/Training Program in Cooperstown, NY

Active since March 27, 2021PECOS Enrolled
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3456(607) 547-6612 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Manela Rafferty Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA MANELA RAFFERTY MD (NPI 1649857384) is an individual student in an organized health care education/training program in Cooperstown, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649857384
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLYDIA MANELA RAFFERTYCredential: MD
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 547-3456 · Fax (607) 547-6612
Phone(607) 547-3456
Fax(607) 547-6612
Sole ProprietorNo
Enumeration DateMarch 27, 2021
NPPES CertifiedMarch 27, 2021
✔ NPI 1649857384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 ATWELL RD, Cooperstown, NY 13326
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Manela Rafferty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRLEY SCHUE ARNP
Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-6982
MARGUERITE DUPLESSIS PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3153
KYLE NICK PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
MS. BARBARA MARY SEPP LCSW
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3500
PATRICIA LINDSAY PA-C
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3400
HAYLEE SMITH
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
DR. CHRIS L KJOLHEDE M.D.
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3290
ELIZABETH FINAN GUINEY L.M., C.M.
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Rafferty's NPI number?

The NPI number for Lydia Rafferty is 1649857384. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Lydia Rafferty located?

Lydia Rafferty practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3456.

What is Lydia Rafferty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lydia Rafferty enrolled in Medicare?

Yes. Lydia Rafferty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lydia Rafferty was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.