Dr James Robert Rummel Jr, DO - Medicare Family Practice in Sharon, PA

Dr James Robert Rummel Jr, DO is a medicare enrolled "Family Medicine" physician in Sharon, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Primary Health Network and his current practice location is 80 E Silver St Ste 400, Sharon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (844) 456-5433.

Dr James Robert Rummel Jr is licensed to practice in Pennsylvania (license number OS021065) 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 1346520525.

Contact Information

Dr James Robert Rummel Jr, DO
80 E Silver St Ste 400,
Sharon, PA 16146-1546
(844) 456-5433
(724) 981-1720

Map and Direction




Physician's Profile

Full NameDr James Robert Rummel Jr
GenderMale
SpecialityFamily Practice
Experience20 Years
Location80 E Silver St Ste 400, Sharon, 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 James Robert Rummel Jr attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004
  NPI Data:
  • NPI Number: 1346520525
  • Provider Enumeration Date: 08/19/2011
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668644535
  • Enrollment ID: I20210316002645

Medical Identifiers

Medical identifiers for Dr James Robert Rummel Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346520525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 261966 (New York)Secondary
207Q00000XFamily Medicine OS021065 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upmc HorizonGreenville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Primary Health Network923404622853

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 James Robert Rummel Jr allows following entities to bill medicare on his behalf.
Entity NamePrimary Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417932609
PECOS PAC ID: 9234046228
Enrollment ID: O20031124000553

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 James Robert Rummel Jr 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 James Robert Rummel Jr, DO
55 Willadell Rd,
Transfer, PA 16154-2729

Ph: (956) 483-0372
Dr James Robert Rummel Jr, DO
80 E Silver St Ste 400,
Sharon, PA 16146-1546

Ph: (844) 456-5433

Reviews and Comments


Family Medicine Doctors in Sharon, PA

Dr. Gregory Anthony George, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 62 Strawbridge Ave, Sharon, PA 16146
Phone: 724-347-2955    Fax: 724-347-4664
Dr. Thjeodore Leon Yarboro, Sr, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 755 Division St, Sharon, PA 16146
Phone: 724-346-4124    Fax: 724-346-0766

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.