Michael W Sims, MD - Medicare Pulmonary Disease in Philadelphia, PA

Michael W Sims, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Philadelphia, Pennsylvania. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1998 and has 26 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice University Of Penn - Medical Group and his current practice location is 39th & Market Street, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-8767.

Michael W Sims is licensed to practice in Pennsylvania (license number MD420677) 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 1407880578.

Contact Information

Michael W Sims, MD
39th & Market Street,
Philadelphia, PA 19104
(215) 662-8767
(215) 243-8265

Map and Direction




Physician's Profile

Full NameMichael W Sims
GenderMale
SpecialityPulmonary Disease
Experience26 Years
Location39th & Market Street, Philadelphia, 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:
  • Michael W Sims attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1998
  NPI Data:
  • NPI Number: 1407880578
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 09/03/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5799737169
  • Enrollment ID: I20050214000578

Medical Identifiers

Medical identifiers for Michael W Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407880578NPI-NPPES
1012065030001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD420677 (Pennsylvania)Primary
207RP1001XInternal Medicine - Pulmonary Disease MD420677 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Penn Presbyterian Medical CenterPhiladelphia, PAHospital
Hospital Of Univ Of PennsylvaniaPhiladelphia, PAHospital
Wilkes-barre General HospitalWilkes-barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Penn - Medical Group62047309553031

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. Michael W Sims allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Penn - Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003923707
PECOS PAC ID: 6204730955
Enrollment ID: O20141216000111

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. Michael W Sims 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
Michael W Sims, MD
3400 Spruce Street, 3 Ravdin Building, Suite F,
Philadelphia, PA 19104

Ph: (215) 662-3202
Michael W Sims, MD
39th & Market Street,
Philadelphia, PA 19104

Ph: (215) 662-8767

Reviews and Comments


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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).

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