Karolin Emia Ginting, MD - Medicare Surgery in Pottsville, PA

Karolin Emia Ginting, MD is a medicare enrolled "Surgery" physician in Pottsville, Pennsylvania. Her current practice location is 48 Tunnel Rd, Pottsville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 622-1400.

Karolin Emia Ginting is licensed to practice in Pennsylvania (license number MD482009) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093200834.

Contact Information

Karolin Emia Ginting, MD
48 Tunnel Rd,
Pottsville, PA 17901-3875
(570) 622-1400
Not Available

Map and Direction




Physician's Profile

Full NameKarolin Emia Ginting
GenderFemale
SpecialitySurgery
Location48 Tunnel Rd, Pottsville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093200834
  • Provider Enumeration Date: 06/25/2018
  • Last Update Date: 09/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507220522
  • Enrollment ID: I20230911000009

Medical Identifiers

Medical identifiers for Karolin Emia Ginting such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093200834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 57246416 (Ohio)Secondary
208600000XSurgery MD482009 (Pennsylvania)Primary

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. Karolin Emia Ginting allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335
Entity NameSchuylkill Health System Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588603567
PECOS PAC ID: 0840285532
Enrollment ID: O20040420001197

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. Karolin Emia Ginting 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
Karolin Emia Ginting, MD
2100 Mack Blvd Fl 4,
Allentown, PA 18103-5622

Ph: (484) 884-4500
Karolin Emia Ginting, MD
48 Tunnel Rd,
Pottsville, PA 17901-3875

Ph: (570) 622-1400

Reviews and Comments


Surgery Doctors in Pottsville, PA

Dr. M. Mohamed Meeran, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 Schuylkill Medical Plz Ste 206, Pottsville, PA 17901
Phone: 570-621-5630    Fax: 570-621-5699
Tanmay G Lal, M.D.
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 48 Tunnel Rd Ste 205, Pottsville, PA 17901
Phone: 570-622-1400    
Dr. Marylou Rainone, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 Schuylkill Medical Plz, Ste 204, Pottsville, PA 17901
Phone: 570-621-5740    Fax: 570-621-6367
Dr. Luke J Rodriguez, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 171 Red Horse Rd, Pottsville, PA 17901
Phone: 104-027-8846    
Dr. Carlos X Villarreal, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 48 Tunnel Rd, Suite 205, Pottsville, PA 17901
Phone: 570-622-1400    Fax: 570-622-8900
Abdelmohsen Kholoussy, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 14 Cottage Hl E, Pob 1184, Pottsville, PA 17901
Phone: 570-622-5885    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.