Dr Seth Jason Sklare, MD - Medicare Pulmonary Disease in Lima, OH

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Dr Seth Jason Sklare, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Lima, Ohio. He went to University Of Louisville School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Community Medical Associates Inc, Catholic Health Initiatives Colorado, Charleston Area Medical Center Inc, Mercy Health Physicians Lima Specialty Care Llc and his current practice location is 770 W High St Ste 240, Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 996-2686.

Dr Seth Jason Sklare is licensed to practice in Ohio (license number 35C.001109) 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 1346621604.

Contact Information

Dr Seth Jason Sklare, MD
770 W High St Ste 240,
Lima, OH 45801-5906
(419) 996-2686
(419) 996-2687

Map and Direction




Physician's Profile

Full NameDr Seth Jason Sklare
GenderMale
SpecialityPulmonary Disease
Experience10 Years
Location770 W High St Ste 240, Lima, Ohio
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 Seth Jason Sklare attended and graduated from University Of Louisville School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1346621604
  • Provider Enumeration Date: 06/12/2015
  • Last Update Date: 05/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981911450
  • Enrollment ID: I20210701003825

Medical Identifiers

Medical identifiers for Dr Seth Jason Sklare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346621604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 55277 (Kentucky)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 35C.001109 (Ohio)Primary
207RC0200XInternal Medicine - Critical Care Medicine CDR.0001550 (Colorado)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 036159601 (Illinois)Secondary
207R00000XInternal Medicine 7471 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health-st Rita's Medical CenterLima, OHHospital
Charleston Area Medical CenterCharleston, WVHospital
Norton Hospitals, IncLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Medical Associates Inc70128112841310
Catholic Health Initiatives Colorado80229273421231
Charleston Area Medical Center Inc3375441637859
Mercy Health Physicians Lima Specialty Care Llc7012332364229

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 Seth Jason Sklare allows following entities to bill medicare on his behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306983762
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656
Entity NameLouisville Pulmonary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164499927
PECOS PAC ID: 9830094309
Enrollment ID: O20031208000029
Entity NamePikeville Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528195864
PECOS PAC ID: 6709790157
Enrollment ID: O20040304001281
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922401611
PECOS PAC ID: 5597867184
Enrollment ID: O20150219000942

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 Seth Jason Sklare 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 Seth Jason Sklare, MD
770 W High St Ste 240,
Lima, OH 45801-5906

Ph: (419) 996-2686		Dr Seth Jason Sklare, MD
770 W High St Ste 240,
Lima, OH 45801-5906

Ph: (419) 996-2686

Reviews and Comments


Internal Medicine Doctors in Lima, OH

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Pratap Balusu, MD
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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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