Dr Samir Bipin Pancholy, MD - Medicare Cardiovascular Disease (cardiology) in Clarks Summit, PA

Dr Samir Bipin Pancholy, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Clarks Summit, Pennsylvania. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Samir B Pancholy Llc and his current practice location is 401 N State St, Clarks Summit, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 587-7817.

Dr Samir Bipin Pancholy is licensed to practice in Pennsylvania (license number MD045919L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609846674.

Contact Information

Dr Samir Bipin Pancholy, MD
401 N State St,
Clarks Summit, PA 18411-1061
(570) 587-7817
(570) 587-7815



Physician's Profile

Full NameDr Samir Bipin Pancholy
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience37 Years
Location401 N State St, Clarks Summit, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samir Bipin Pancholy graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1609846674
  • Provider Enumeration Date: 01/24/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9436251501
  • Enrollment ID: I20070220000204

Medical Identifiers

Medical identifiers for Dr Samir Bipin Pancholy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609846674NPI-NPPES
23711OtherPAGEISINGER HEALTH
801519OtherPAFIRST PRIORITY HEALTH
001584853MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD045919L (Pennsylvania)Secondary
207RI0011XInternal Medicine - Interventional Cardiology MD045919L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Hospital Of ScrantonScranton, PAHospital
Geisinger-community Medical CenterScranton, PAHospital
Wilkes-barre General HospitalWilkes-barre, PAHospital
Barnes-kasson County HospitalSusquehanna, PAHospital
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samir B Pancholy Llc50928126512

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samir Bipin Pancholy allows following entities to bill medicare on his behalf.
Entity NameSamir B Pancholy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350087
PECOS PAC ID: 5092812651
Enrollment ID: O20070517000084

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samir Bipin Pancholy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samir Bipin Pancholy, MD
Po Box 620,
Chinchilla, PA 18410-0620

Ph: (570) 587-7817
Dr Samir Bipin Pancholy, MD
401 N State St,
Clarks Summit, PA 18411-1061

Ph: (570) 587-7817

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Internal Medicine Doctors in Clarks Summit, PA

Dr. Sun-tak Han, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 Layton Rd, Clarks Summit, PA 18411
Phone: 570-586-3982    Fax: 570-585-2896
Dr. Michael H Gordon, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 N State St, Clarks Summit, PA 18411
Phone: 570-586-1134    Fax: 570-586-1136
Dr. John Lisiak Jr., D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 611 Morgan Hwy, Clarks Summit, PA 18411
Phone: 570-585-6700    Fax: 570-585-6714
Donald A Kachline, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1451 Hillside Dr, Newton Hall, Medical Office, Clarks Summit, PA 18411
Phone: 570-587-7254    Fax: 570-587-7270
Haitham Abughnia, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 N State St, Clarks Summit, PA 18411
Phone: 570-587-7817    Fax: 570-587-7815
Dr. Sheela S Prahalad, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 319 N State St, Clarks Summit, PA 18411
Phone: 570-586-6087    Fax: 570-586-6072
Mr. Charles Richard Druffner, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1851 Newton Ransom Blvd, Apt#2, Clarks Summit, PA 18411
Phone: 570-587-4344    

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