Ted Le Schwarm, MD - Medicare Emergency Medicine in Sumner, IA

Ted Le Schwarm, MD is a medicare enrolled "Family Medicine" physician in Sumner, Iowa. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Iowa Emergency Physicians Llp and his current practice location is 909 W 1st St, Sumner, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 578-5375.

Ted Le Schwarm is licensed to practice in Iowa (license number 38144) 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 1528295680.

Contact Information

Ted Le Schwarm, MD
909 W 1st St,
Sumner, IA 50674-1203
(563) 578-5375
(563) 578-5437

Map and Direction




Physician's Profile

Full NameTed Le Schwarm
GenderMale
SpecialityEmergency Medicine
Experience20 Years
Location909 W 1st St, Sumner, Iowa
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:
  • Ted Le Schwarm graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1528295680
  • Provider Enumeration Date: 06/16/2009
  • Last Update Date: 06/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3173677499
  • Enrollment ID: I20090820000166

Medical Identifiers

Medical identifiers for Ted Le Schwarm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528295680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 38144 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercyone North Iowa Medical CenterMason city, IAHospital
Mercyone Oelwein Medical CenterOelwein, IAHospital
Henry County Health CenterMount pleasant, IAHospital
Sartori Memorial Hospital, IncCedar falls, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iowa Emergency Physicians Llp599185606416

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. Ted Le Schwarm allows following entities to bill medicare on his behalf.
Entity NameNorth Iowa Mercy Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780278242
PECOS PAC ID: 7810809076
Enrollment ID: O20031105000273
Entity NameSartori Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710928734
PECOS PAC ID: 1052229549
Enrollment ID: O20031111000280
Entity NameMercy Hospital Of Franciscan Sisters Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780622613
PECOS PAC ID: 0143138636
Enrollment ID: O20040126000282
Entity NameHenry County Soldiers' And Sailors' Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467404103
PECOS PAC ID: 7911893169
Enrollment ID: O20040224001279
Entity NameIowa Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386879427
PECOS PAC ID: 5991856064
Enrollment ID: O20090701000057

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. Ted Le Schwarm 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
Ted Le Schwarm, MD
909 W 1st St, P.o. Box 148,
Sumner, IA 50674-1203

Ph: (563) 578-5375
Ted Le Schwarm, MD
909 W 1st St,
Sumner, IA 50674-1203

Ph: (563) 578-5375

Reviews and Comments


Family Medicine Doctors in Sumner, IA

Mary Pat Rosman, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 909 W 1st St, Sumner, IA 50674
Phone: 563-578-3244    Fax: 563-578-3247
Ann E Reid, PAC
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 909 W 1st St, Sumner, IA 50674
Phone: 563-578-3279    Fax: 563-578-3279

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.