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NYS Department of Health, Executive Offices, Dr. Antonia Novello, Director (518) 474-2011
  • Office of Managed Care, Kathleen Shure, Director (518) 474-1590

Office of Medicaid Management

  • Medicaid Helpline (518) 486-9057
  • Fraud (877) 87FRAUD {873-7283}
  • NYC MEDICAID FRAUD CONTACT: Walter Crosby, Medicaid Fraud Control Unit, 120 Broadway, 13th Floor, NY, NY 10271-0007
    Phone: (212) 417-5397, Fax: (212) 417-2099
  • NYS Medicaid Price Corrections (518) 486-3209
  • NYS Medicaid Prior Approval Office (212) 613-4911
  • NYC Prior Approval (212) 268-6645
  • NYS Medicaid Prior Authorization (Devices) (518) 474-7300
  • NYS Medicaid Restricted Recipient Unit (518) 486-3214
  • NYS Medicaid-EMEVS- Deluxe Data (800) 343-9000

Medicaid Managed Care

  • New York City Area (800) 505-5678
  • All Other Areas (888) 367-6557
  • Provider - Medical Billing Assistance
  • Practitioner Services (800) 522-5518 (In-State Providers) (518) 447-9860 (Out-of-State Providers)
  • Institutional Services (800) 522-1892 (In-State Providers) (518) 447-9810 (Out-of-State Providers)
  • Professional Services (800) 522-5535 (In-State Providers) (518) 447-9830 (Out-of-State Providers)
  • ALBANY Office (518) 474-3018
  • BUFFALO Office (716) 847-5090

Medicaid Management Information Systems (716) 847-4640

    STEUBEN & SCHUYLER Counties Office (607) 324-8371
    MENANDS Office (518) 402-0044
    Bureau of Fraud Detection Systems, Sal Medak (518) 474-2239
    Medicaid Systems Management, Patrick Martone (518) 402-0044
    NEW YORK CITY - General Information (212) 788-5300
    Bureau Of Compliance & Audit - Metropolitan Operations (718) 262-4141
    Bureau of Revenue & Administrative Support Services  (718) 262-4140
    Bureau of Investigations and Enforcement  (212) 383-4681

    Medicaid Prior Approval (212) 268-6645
    ROCHESTER Office (716) 238-8118
    WATERTOWN DISTRICT OFFICE (315) 785-2277
    Bureau of Administration, Jo vonBieberstein, Director (518) 486-6830
    Division of Policy & Program Guidance, Rose Pandozy, Director (518) 473-5613
    Bureau of Policy Development, Richard Nussbaum, Director (518) 473-5873
    Bureau of Program Guidance, Karen Fuller, Director (518) 474-9219
    Bureau of Third Party, John Brunelle, Director (518) 474-9193
    Division of Medicaid Fraud Control, Gregor Macmillan, Director (518) 473-7735
    Family Health Plus, Marilyn Desmond, Director (518) 473-5330
    Bureau of Medical Review & Payment, Joseph Guy, Director (518) 474-8161
    Bureau of Enrollment, Diana Malkonian, Director (518) 473-5600
    Division of Child Support Enforcement (518) 474-1222
    Bureau of Controlled Substances (518) 402-0707
  • NYC (212) 268-5347
  • Metropolitan Area Regional Office (NYC metropolitan areas) - (212) 268-6906
  • Western NY Regional Office (Buffalo area) - (716) 847-4300
  • Rochester Regional Office - (585) 423-8043
  • Syracuse Regional Office - (315) 477-8459
  • Capital Area Regional Office - (518) 402-0707

New York State Board of Pharmacy (518) 474-3817, ext. 130

Office of Professional Medical Misconduct (complaints & inquiries) (800) 663-6114

Elderly Pharmaceutical Insurance Coverage

  • Fraud & Abuse (800) 542-0424
  • Participant Helpline (800) 332-3742
  • Provider Helpline (800) 634-1340

New York State Office of the Professions, Johanna Duncan-Poitier, Assoc. Commissioner (518) 474-3862

  • Division of Professional Licensing Services  (518) 474-3830

Pharmacy Benefit Managers

  • AdvancePCS (480) 314-8380
  • Argus Health Sytems (816) 435-5400
  • Caremark Pharmaceutical Group (800) 323-8083
  • Centrus - Pharmacy Benefits Management (800) 227-7269
  • ClaimsPro Management Services (800) 837-9600
  • Consultec, Inc. (800) 334-5979
  • Eckerd Health Services (412) 967-2300
  • Express Scripts, Inc. (800) 281-0712
  • First Health Services Corporation (804) 965-7735
  • International Pharmacy Management (800) 476-3784
  • MedImpact Healthcare Systems, Inc. (858) 566-2727
  • Merck-Medco Managed Care, LLC (201) 269-3400
  • National Medical Health Card System (800) 251-3883
  • National Prescription Administrators (973) 503-1000
  • PharmaCare (800) 237-6184
  • Pharmaceutical Care Network (916) 361-4400
  • Pharmacy Business Associates/True Care Pharmacy (816) 245-5700
  • Pharmacy Network National Corporation (800) 331-7108
  • PRAM Insurance Services, Inc. (800) 262-7726
  • RESTAT (800) 926-5858
  • Scrip Pharmacy Solutions (was MIM Health Plans) (914) 460-1600
  • United Drugs (602) 678-1179
  • USI Rx (formerly York HealthNet) (800) 936-1193
  • Value Rx NYS Employees (800) 964-1888
  • Value Rx (all other plans) (800) 234-4879
  • Walgreens Health Initiatives (847) 374-2640
  • WellPoint Pharmacy Management (800) 451-0433

DEA New York Field Divisions:

TO ORDER DEA FORM 222 - Official Order Forms  (877) 883-5789NEW YORK FIELD DIVISION, 99 Tenth Avenue, New York, NY 10011

    Diversion Program Manager - Margaret A. Brophy (212) 337-1190
    Diversion Program Manager Fax: (212) 337-2895
    Group Supervisor - Antonio Guzman (212) 337-1575
    Diversion Group Fax: (212) 337-2895
    Group Supervisor - Susan Baker (212) 337-1584
    Diversion Group Fax: (212) 337-2872
    Registration - (877) 883-5789 or (212) 337-1593 or (212) 337-1594
    Registration Fax - (212) 337-2895
    Jurisdiction: New York (minus Buffalo and Long Island)

BUFFALO RESIDENT OFFICE
    28 Church Street, Suite 300
    Buffalo, NY 14202
    Diversion Number: (716) 551-3391
    Diversion Fax: (716) 551-3398
    Group Supervisor - Dale Shick (716) 551-3391
    Jurisdiction: Western and Central New York

LONG ISLAND DISTRICT OFFICE
    175 Pinelawn Road, Suite 205, Melville, NY 11747
    Diversion Number: (631) 420-4540
    Diversion Fax: (631) 420-4551
    Group Supervisor - Robert Brown (631) 420-4539
    Jurisdiction: Long Island, NY