Dr Joseph Semple, MD - Medicare Pathology in Middletown, CT

Dr Joseph Semple, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Middletown, Connecticut. He went to Boston University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Connecticut Pathology Group, P.c. and his current practice location is 28 Crescent St, Middletown, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 344-6174.

Dr Joseph Semple is licensed to practice in Connecticut (license number 037355) 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 1164452587.

Contact Information

Dr Joseph Semple, MD
28 Crescent St,
Middletown, CT 06457-3654
(860) 344-6174
(860) 344-6062

Map and Direction




Physician's Profile

Full NameDr Joseph Semple
GenderMale
SpecialityPathology
Experience36 Years
Location28 Crescent St, Middletown, Connecticut
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 Joseph Semple attended and graduated from Boston University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1164452587
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3476626680
  • Enrollment ID: I20110330000241

Medical Identifiers

Medical identifiers for Dr Joseph Semple such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164452587NPI-NPPES
500HBL066CT01OtherCTBC/BS#
0004384150OtherCTAETNA/US HEALTHCARE#
1758559OtherCTCIGNA HEALTHCARE#
001373555P1OtherCTBLUE CARE FAMILY PLAN#
4832OtherCTCONNECTICARE#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 037355 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Connecticut Pathology Group, P.c.27695559784

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 Joseph Semple allows following entities to bill medicare on his behalf.
Entity NameConnecticut Pathology Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740219625
PECOS PAC ID: 2769555978
Enrollment ID: O20080722000230

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 Joseph Semple 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 Joseph Semple, MD
Po Box 1590,
New Haven, CT 06506-1590

Ph: (203) 397-8000
Dr Joseph Semple, MD
28 Crescent St,
Middletown, CT 06457-3654

Ph: (860) 344-6174

Reviews and Comments


Pathology Doctors in Middletown, CT

Dr. Nathan Collins Walk, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457
Phone: 860-358-6175    
Dr. Daniel Niejadlik, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 28 Crescent St, Middletown, CT 06457
Phone: 860-344-6174    Fax: 860-344-6062
Dr. Jonathan D Levine, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 28 Crescent St, Middletown, CT 06457
Phone: 860-344-6174    Fax: 860-344-6062
Dr. Barry Pearson, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 28 Crescent St, Middletown, CT 06457
Phone: 860-344-6174    Fax: 860-344-6062

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.