Dr John Michael Wisniewski, MD - Medicare Family Practice in Conemaugh, PA

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Dr John Michael Wisniewski, MD is a medicare enrolled "Internal Medicine" physician in Conemaugh, Pennsylvania. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Somerset Health Services Inc, Vantage Physical Therapy And Rehabilitation Inc and his current practice location is 340 1st St, Conemaugh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 535-7721.

Dr John Michael Wisniewski is licensed to practice in Pennsylvania (license number MD042330L) 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 1154472579.

Contact Information

Dr John Michael Wisniewski, MD
340 1st St,
Conemaugh, PA 15909-1906
(814) 535-7721
(814) 535-2105

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Physician's Profile

Full NameDr John Michael Wisniewski
GenderMale
SpecialityFamily Practice
Experience38 Years
Location340 1st St, Conemaugh, 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 John Michael Wisniewski graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1154472579
  • Provider Enumeration Date: 01/13/2007
  • Last Update Date: 11/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9830220870
  • Enrollment ID: I20100708000320

Medical Identifiers

Medical identifiers for Dr John Michael Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154472579NPI-NPPES
1526828OtherGATEWAY HEALTHPLAN
0487180000OtherPAINDENPENDANCE BLUE SHEILD
101310OtherUPMC HEALTHPLAN
110082629OtherRAILROAD MEDICARE
654889OtherPAHIGHMARK BLUE SHIELD
0012353890004MedicaidPA
327740OtherHEALTH AMERICA
5317328OtherAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD042330L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Conemaugh Home HealthJohnstown, PAHome health agency
Aseracare HospiceJohnstown, PAHospice
Windber HospiceWindber, PAHospice
Grane HospiceHollidaysburg, PAHospice
Viaquest Hospice, LlcMonongahela, PAHospice
365 Hospice LlcCarrolltown, PAHospice
Conemaugh Memorial Medical CenterJohnstown, PAHospital
Chan Soon- Shiong Medical Center At WindberWindber, PAHospital
Upmc PassavantPittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Somerset Health Services Inc266843461444
Vantage Physical Therapy And Rehabilitation Inc3072424886168

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 John Michael Wisniewski allows following entities to bill medicare on his behalf.
Entity NameSomerset Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134237407
PECOS PAC ID: 2668434614
Enrollment ID: O20041102000021

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 John Michael Wisniewski 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 John Michael Wisniewski, MD
221 W Airpark Rd,
Central City, PA 15926-9221

Ph: (814) 754-1974		Dr John Michael Wisniewski, MD
340 1st St,
Conemaugh, PA 15909-1906

Ph: (814) 535-7721

Reviews and Comments


Internal Medicine Doctors in Conemaugh, PA


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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