Dr Sunil Muthusami, MD - Medicare Pediatrics in Lancaster, PA

Dr Sunil Muthusami, MD is a medicare enrolled "Pediatrics" physician in Lancaster, Pennsylvania. His current practice location is 555 N Duke St, Lancaster, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 544-5511.

Dr Sunil Muthusami is licensed to practice in Pennsylvania (license number MD446098) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548536519.

Contact Information

Dr Sunil Muthusami, MD
555 N Duke St,
Lancaster, PA 17602-2250
(717) 544-5511
(717) 544-5333

Map and Direction




Physician's Profile

Full NameDr Sunil Muthusami
GenderMale
SpecialityPediatrics
Location555 N Duke St, Lancaster, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548536519
  • Provider Enumeration Date: 03/23/2012
  • Last Update Date: 11/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436470895
  • Enrollment ID: I20150610001892

Medical Identifiers

Medical identifiers for Dr Sunil Muthusami such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548536519NPI-NPPES
1245845970001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD446098 (Pennsylvania)Primary

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 Sunil Muthusami allows following entities to bill medicare on his behalf.
Entity NameChildrens Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598869059
PECOS PAC ID: 1355253527
Enrollment ID: O20040216001108

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 Sunil Muthusami 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 Sunil Muthusami, MD
100 Penn Square East, 9th Floor North Tower,
Philadelphia, PA 19107

Ph: (267) 425-9200
Dr Sunil Muthusami, MD
555 N Duke St,
Lancaster, PA 17602-2250

Ph: (717) 544-5511

Reviews and Comments


Pediatrics Doctors in Lancaster, PA

Dr. Christine Mary Hanna Beiler, MD
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Phone: 717-569-6481    Fax: 717-569-5213
Dr. Chukwuma Christopher Mmuo, M.D
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Phone: 717-544-5511    Fax: 717-531-0648
Melissa A Tribuzio, MD
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Practice Location: 2106 Harrisburg Pike, Suite 1, Lancaster, PA 17601
Phone: 717-291-5931    Fax: 717-291-5818
Kevin Lorah, M.D.
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Phone: 717-544-3700    
Alana Feiler, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 555 N Duke St, Lancaster, PA 17602
Phone: 717-544-8144    Fax: 717-544-8140
Donna L Brosbe, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 2150 Noll Drive, Suite 100, Lancaster, PA 17603
Phone: 717-299-8933    Fax: 717-299-5635

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.