Dr Herman J Michael Jr, MD - Medicare Nephrology in Exton, PA

Dr Herman J Michael Jr, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Exton, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1984 and has 41 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Clinical Renal Associates Llc and his current practice location is 860 Springdale Dr, Suite 100, Exton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 524-3703.

Dr Herman J Michael Jr is licensed to practice in Pennsylvania (license number MD034872E) 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 1205867793.

Contact Information

Dr Herman J Michael Jr, MD
860 Springdale Dr, Suite 100,
Exton, PA 19341
(610) 524-3703
(610) 524-5990

Map and Direction




Physician's Profile

Full NameDr Herman J Michael Jr
GenderMale
SpecialityNephrology
Experience41 Years
Location860 Springdale Dr, Exton, 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 Herman J Michael Jr attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1984
  NPI Data:
  • NPI Number: 1205867793
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 09/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5193760452
  • Enrollment ID: I20100826000849

Medical Identifiers

Medical identifiers for Dr Herman J Michael Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205867793NPI-NPPES
1282870MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD034872E (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinical Renal Associates Llc690188136627

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 Herman J Michael Jr allows following entities to bill medicare on his behalf.
Entity NameClinical Renal Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620254
PECOS PAC ID: 6901881366
Enrollment ID: O20040621000636

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 Herman J Michael Jr 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 Herman J Michael Jr, MD
860 Springdale Dr, Suite 100,
Exton, PA 19341

Ph: (610) 524-3703
Dr Herman J Michael Jr, MD
860 Springdale Dr, Suite 100,
Exton, PA 19341

Ph: (610) 524-3703

Reviews and Comments


Internal Medicine Doctors in Exton, PA

Mr. Sean G Dorrell, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 860 Springdale Dr, Suite 100, Exton, PA 19341
Phone: 610-524-3703    Fax: 610-524-5990
Steven J Goldstein, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 495 Thomas Jones Way, Suite 200, Exton, PA 19341
Phone: 610-644-6755    Fax: 610-647-2063
Dr. Sailaja Satturu Rao, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 495 Thomas Jones Way, Suite 100, Baxter Building Ii, Exton, PA 19341
Phone: 610-524-4106    Fax: 610-524-4168
Susan M. Kohli, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 93 W Devon Dr, Suite 100, Exton, PA 19341
Phone: 610-321-0200    Fax: 610-594-2625
Cara Lea O'shaughnessey, D.O.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 855 Springdale Drive, Suite 120, Exton, PA 19341
Phone: 610-561-6100    Fax: 610-524-0133
Dr. Steven S Han, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 860 Springdale Dr, Suite 100, Exton, PA 19341
Phone: 610-524-3703    Fax: 610-524-5990

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.