Dr Susete Carneiro, MD - Medicare Orthopedic Surgery in Philadelphia, PA

Dr Susete Carneiro, MD is a medicare enrolled "Surgery" physician in Philadelphia, Pennsylvania. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc, Kaiser Foundation Health Plan Of The Mid-atlantic States,inc, Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (201) 317-3485.

Dr Susete Carneiro is licensed to practice in Pennsylvania (license number MT202446) 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 1003170853.

Contact Information

Dr Susete Carneiro, MD
3401 N Broad St,
Philadelphia, PA 19140-5103
(201) 317-3485
Not Available

Map and Direction




Physician's Profile

Full NameDr Susete Carneiro
GenderFemale
SpecialityOrthopedic Surgery
Experience12 Years
Location3401 N Broad St, Philadelphia, 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 Susete Carneiro graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1003170853
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 02/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951654805
  • Enrollment ID: I20181023003399

Medical Identifiers

Medical identifiers for Dr Susete Carneiro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003170853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MT202446 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virginia Hospital CenterArlington, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673

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 Susete Carneiro allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

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 Susete Carneiro 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 Susete Carneiro, MD
6501 Loisdale Ct,
Springfield, VA 22150-1826

Ph: (703) 213-8241
Dr Susete Carneiro, MD
3401 N Broad St,
Philadelphia, PA 19140-5103

Ph: (201) 317-3485

Reviews and Comments


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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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