Dr Sumeet Mathur, MD - Medicare Otolaryngology in Johnstown, PA

Dr Sumeet Mathur, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Johnstown, Pennsylvania. He went to Harvard Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Laurel Ent And Allergy Pc, Laurel Ent And Allergy Pc and his current practice location is 1450 Scalp Ave, Suite 9, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 266-1185.

Dr Sumeet Mathur is licensed to practice in Pennsylvania (license number MD064804L) 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 1609864115.

Contact Information

Dr Sumeet Mathur, MD
1450 Scalp Ave, Suite 9,
Johnstown, PA 15904-3374
(814) 266-1185
(814) 266-1199

Map and Direction




Physician's Profile

Full NameDr Sumeet Mathur
GenderMale
SpecialityOtolaryngology
Experience31 Years
Location1450 Scalp Ave, Johnstown, 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 Sumeet Mathur attended and graduated from Harvard Medical School in 1993
  NPI Data:
  • NPI Number: 1609864115
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4284530130
  • Enrollment ID: I20031210000977

Medical Identifiers

Medical identifiers for Dr Sumeet Mathur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609864115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0007XOtolaryngology - Plastic Surgery Within The Head & Neck MD064804L (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Laurel Ent And Allergy Pc30725102132
Laurel Ent And Allergy Pc30725102132

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 Sumeet Mathur allows following entities to bill medicare on his behalf.
Entity NameHealth Services Of Clarion Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144295957
PECOS PAC ID: 7517867930
Enrollment ID: O20040112000168
Entity NameLaurel Ent & Allergy Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649387515
PECOS PAC ID: 3072510213
Enrollment ID: O20061031000210

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 Sumeet Mathur 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 Sumeet Mathur, MD
1450 Scalp Ave, Suite 9,
Johnstown, PA 15904-3374

Ph: (814) 266-1185
Dr Sumeet Mathur, MD
1450 Scalp Ave, Suite 9,
Johnstown, PA 15904-3374

Ph: (814) 266-1185

Reviews and Comments


Otolaryngology Doctors in Johnstown, PA

Dr. Hassen Omer Mohammed, M.D.
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Practice Location: 348 Budfield St, Johnstown, PA 15904
Phone: 814-262-3950    
Dr. Allison F Harbart, MD
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Dr. David C Armstrong, MD
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Dr. Kristin C Brant, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 348 Budfield Street, Johnstown, PA 15904
Phone: 814-262-3950    Fax: 814-262-3990
David R Rogerson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 348 Budfield Street, Johnstown, PA 15904
Phone: 814-262-3950    Fax: 814-262-3990

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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