Dr Paul Jerome Palafox Custodio, MD - Medicare Endocrinology in New Kensington, PA

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Dr Paul Jerome Palafox Custodio, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in New Kensington, Pennsylvania. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice Susquehanna Physician Services, Fornance Physician Services Inc, Summa Physicians Inc and his current practice location is 356 Freeport St, New Kensington, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 367-2400.

Dr Paul Jerome Palafox Custodio is licensed to practice in Pennsylvania (license number MD456308) 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 1093997280.

Contact Information

Dr Paul Jerome Palafox Custodio, MD
356 Freeport St,
New Kensington, PA 15068-6071
(724) 367-2400
(724) 367-2401

Map and Direction




Physician's Profile

Full NameDr Paul Jerome Palafox Custodio
GenderMale
SpecialityEndocrinology
Experience20 Years
Location356 Freeport St, New Kensington, 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 Paul Jerome Palafox Custodio graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1093997280
  • Provider Enumeration Date: 11/29/2007
  • Last Update Date: 10/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123306164
  • Enrollment ID: I20161026002469

Medical Identifiers

Medical identifiers for Dr Paul Jerome Palafox Custodio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093997280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism MD456308 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Williamsport Regional Medical CenterWilliamsport, PAHospital
Summa Health SystemAkron, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Susquehanna Physician Services2264336460510
Fornance Physician Services Inc8527962661104
Summa Physicians Inc2961303532653

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 Paul Jerome Palafox Custodio allows following entities to bill medicare on his behalf.
Entity NameSusquehanna Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184652133
PECOS PAC ID: 2264336460
Enrollment ID: O20040216000018
Entity NameFornance Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053363523
PECOS PAC ID: 8527962661
Enrollment ID: O20040216000037
Entity NameAllegheny Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073081493
PECOS PAC ID: 5395649586
Enrollment ID: O20040310000602

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 Paul Jerome Palafox Custodio 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 Paul Jerome Palafox Custodio, MD
356 Freeport St,
New Kensington, PA 15068-6071

Ph: (724) 367-2400		Dr Paul Jerome Palafox Custodio, MD
356 Freeport St,
New Kensington, PA 15068-6071

Ph: (724) 367-2400

Reviews and Comments


Internal Medicine Doctors in New Kensington, PA

Dr. Thomas R Litz, DO
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 2869 Leechburg Rd, New Kensington, PA 15068
Phone: 724-337-6000    Fax: 724-337-6100
Surinder S Bajwa, MD
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 305 7th St, New Kensington, PA 15068
Phone: 724-339-3900    Fax: 724-334-1704
Nishit Vaghasia,
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 356 Freeport St, New Kensington, PA 15068
Phone: 724-367-2400    
Darius Saghafi, MD
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 251 7th St, Ste C204, New Kensington, PA 15068
Phone: 724-339-1633    Fax: 724-339-1170
Carl Elmer Scheler, MD
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 4 Feldarelli Square, Freeport Road, New Kensington, PA 15068
Phone: 724-339-1707    Fax: 724-337-8918
Jashwant K Sharma, MD
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 251 7th St, Suite C204, New Kensington, PA 15068
Phone: 724-339-1633    Fax: 724-339-1170

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.