Dr John T Debardeleben Iv, MD in Philadelphia, PA

Dr John T Debardeleben Iv, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Philadelphia, Pennsylvania. He went to Temple University School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Geisinger-hm Joint Venture Llc, Geisinger Clinic and his current practice location is 5501 Old York Road, Albert Einstein Medical Center, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (800) 220-2362.

Dr John T Debardeleben Iv is licensed to practice in Pennsylvania (license number MT202279) 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 1548523566.

Contact Information

	Dr John T Debardeleben Iv, MD
	5501 Old York Road, Albert Einstein Medical Center, Philadelphia, PA 19141
	(800) 220-2362
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John T Debardeleben Iv
Gender	Male
Speciality	Diagnostic Radiology
Experience	13 Years
Location	5501 Old York Road, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. 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 T Debardeleben Iv attended and graduated from Temple University School Of Medicine in 2012

NPI Data:

NPI Number: 1548523566
Provider Enumeration Date: 06/25/2012
Last Update Date: 07/06/2012

Medicare PECOS Information:

PECOS PAC ID: 4082983341
Enrollment ID: I20170630001138

Medical Identifiers

Medical identifiers for Dr John T Debardeleben Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548523566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MT202279 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Medical Center	Danville, PA	Hospital
Geisinger Wyoming Valley Medical Center	Wilkes barre, PA	Hospital
Geisinger-community Medical Center	Scranton, PA	Hospital
Geisinger-bloomsburg Hospital	Bloomsburg, PA	Hospital
Geisinger-lewistown Hospital	Lewistown, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger-hm Joint Venture Llc	1355676370	324
Geisinger Clinic	5395657001	3078

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 T Debardeleben Iv allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Radiology Group Of Abington Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477541035 PECOS PAC ID: 5991780892 Enrollment ID: O20040623001414

Entity Name	Geisinger-hm Joint Venture Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803

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 T Debardeleben Iv 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 Address	Practice Location Address
Dr John T Debardeleben Iv, MD 5501 Old York Road, Albert Einstein Medical Center, Philadelphia, PA 19141 Ph: (800) 220-2362	Dr John T Debardeleben Iv, MD 5501 Old York Road, Albert Einstein Medical Center, Philadelphia, PA 19141 Ph: (800) 220-2362

Reviews and Comments

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Dr John T Debardeleben Iv, MD - Medicare Diagnostic Radiology in Philadelphia, PA