Dr Daniel Plavin, MD - Medicare Family Practice in Albrightsville, PA

Dr Daniel Plavin, MD is a medicare enrolled "Family Medicine" physician in Albrightsville, Pennsylvania. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Luke's Physician Group Inc and his current practice location is 2599 Pa 903, Albrightsville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 645-1945.

Dr Daniel Plavin is licensed to practice in Pennsylvania (license number MD478287) 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 1528521358.

Contact Information

Dr Daniel Plavin, MD
2599 Pa 903,
Albrightsville, PA 18210
(570) 645-1945
Not Available

Map and Direction




Physician's Profile

Full NameDr Daniel Plavin
GenderMale
SpecialityFamily Practice
Experience6 Years
Location2599 Pa 903, Albrightsville, 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 Daniel Plavin graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1528521358
  • Provider Enumeration Date: 04/09/2019
  • Last Update Date: 07/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527449818
  • Enrollment ID: I20220718002810

Medical Identifiers

Medical identifiers for Dr Daniel Plavin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528521358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD478287 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayada Home Health Care, Inc.Bethlehem, PAHome health agency
St Luke's Miners Memorial HospitalCoaldale, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Luke's Physician Group Inc67097983331739

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 Daniel Plavin allows following entities to bill medicare on his behalf.
Entity NameThe Carbon-schuylkill Community Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194891010
PECOS PAC ID: 4486562030
Enrollment ID: O20031117000015
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

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 Daniel Plavin 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 Daniel Plavin, MD
Po Box 119,
Lake Harmony, PA 18624-0119

Ph: (516) 582-9243
Dr Daniel Plavin, MD
2599 Pa 903,
Albrightsville, PA 18210

Ph: (570) 645-1945

Reviews and Comments


Family Medicine Doctors in Albrightsville, PA

Neil Lesitsky, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2588 State Route 903, Ste 2, Albrightsville, PA 18210
Phone: 570-722-2125    Fax: 570-722-2127

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.