Donald W Rumbaugh, MD - Medicare Family Practice in Harrisville, PA

Donald W Rumbaugh, MD is a medicare enrolled "Family Medicine" physician in Harrisville, Pennsylvania. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Allegheny Clinic, Primary Health Network and his current practice location is 321 E Mercer St, Harrisville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 735-4241.

Donald W Rumbaugh is licensed to practice in Pennsylvania (license number MD466057) 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 1720369101.

Contact Information

Donald W Rumbaugh, MD
321 E Mercer St,
Harrisville, PA 16038-1927
(724) 735-4241
(724) 735-4240

Map and Direction




Physician's Profile

Full NameDonald W Rumbaugh
GenderMale
SpecialityFamily Practice
Experience40 Years
Location321 E Mercer St, Harrisville, 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:
  • Donald W Rumbaugh graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1720369101
  • Provider Enumeration Date: 08/30/2011
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335163104
  • Enrollment ID: I20210423000011

Medical Identifiers

Medical identifiers for Donald W Rumbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720369101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MA51436 (New Jersey)Secondary
207Q00000XFamily Medicine MD466057 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grove City Medical CenterGrove city, PAHospital
Butler Memorial HospitalButler, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allegheny Clinic53956495861941
Primary Health Network923404622853

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. Donald W Rumbaugh allows following entities to bill medicare on his behalf.
Entity NamePrimary Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417932609
PECOS PAC ID: 9234046228
Enrollment ID: O20031124000553
Entity NameAllegheny Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073081493
PECOS PAC ID: 5395649586
Enrollment ID: O20040310000602

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. Donald W Rumbaugh 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
Donald W Rumbaugh, MD
321 E Mercer St,
Harrisville, PA 16038-1927

Ph: (724) 735-4241
Donald W Rumbaugh, MD
321 E Mercer St,
Harrisville, PA 16038-1927

Ph: (724) 735-4241

Reviews and Comments


Family Medicine Doctors in Harrisville, PA

Veronica Vezzani,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 321 E Mercer St, Harrisville, PA 16038
Phone: 724-735-4241    
R Donald Mcafee, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 321 E Mercer St, Harrisville, PA 16038
Phone: 724-735-4241    Fax: 724-735-4240

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.