Dr Michelle Jeena Im, DO - Medicare Family Practice in Shavertown, PA

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Dr Michelle Jeena Im, DO is a medicare enrolled "Family Medicine" physician in Shavertown, Pennsylvania. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Commonwealth Physician Network Llc, Steffie Enterprises, Inc and her current practice location is 176 N Main St, Shavertown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 675-0900.

Dr Michelle Jeena Im is licensed to practice in Pennsylvania (license number OT018121) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134640717.

Contact Information

Dr Michelle Jeena Im, DO
176 N Main St,
Shavertown, PA 18708-1121
(570) 675-0900
Not Available

Map and Direction




Physician's Profile

Full NameDr Michelle Jeena Im
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location176 N Main St, Shavertown, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michelle Jeena Im graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1134640717
  • Provider Enumeration Date: 07/04/2017
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486066982
  • Enrollment ID: I20201207001299

Medical Identifiers

Medical identifiers for Dr Michelle Jeena Im such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134640717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OT018121 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Associated Family Home Care, Inc.Kingston, PAHome health agency
Hospice Of The Sacred HeartWilkes barre, PAHospice
Wilkes-barre General HospitalWilkes-barre, PAHospital
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital
Meadows Nursing And Rehabilitation CenterDallas, PANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Commonwealth Physician Network Llc266869659284
Steffie Enterprises, Inc0840225736354

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 Michelle Jeena Im allows following entities to bill medicare on her behalf.
Entity NameCommonwealth Physician Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003238635
PECOS PAC ID: 2668696592
Enrollment ID: O20140617000549

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 Michelle Jeena Im 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 Michelle Jeena Im, DO
610 Wyoming Ave,
Kingston, PA 18704-3702

Ph: () -		Dr Michelle Jeena Im, DO
176 N Main St,
Shavertown, PA 18708-1121

Ph: (570) 675-0900

Reviews and Comments


Family Medicine Doctors in Shavertown, PA

Dr. Debra Thompson Miller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2 Ivy Dr, Shavertown, PA 18708
Phone: 570-696-4767    
Devin Carey, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 176 N Main St, Shavertown, PA 18708
Phone: 570-675-0900    
Dr. Michael Vito Brown, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 176 N Main St, Shavertown, PA 18708
Phone: 570-675-0900    
Dr. Nehal Mohammed Aleemuddin, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 176 N Main St, Shavertown, PA 18708
Phone: 570-675-0900    Fax: 570-674-9814
Dr. Essam M Almeky, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 176 N Main St, Shavertown, PA 18708
Phone: 570-675-0900    Fax: 570-674-8912
Krishnakant A Patel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 176 N Main St, Shavertown, PA 18708
Phone: 570-675-0900    Fax: 570-674-8912

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.