John M Sundermann, MD - Medicare Pathology in Butler, PA

John M Sundermann, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Butler, Pennsylvania. He went to University Of Arkansas College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Butler Medical Providers and his current practice location is 1 Hospital Way, Butler, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 284-4513.

John M Sundermann is licensed to practice in South Carolina (license number 30144) 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 1447213582.

Contact Information

John M Sundermann, MD
1 Hospital Way,
Butler, PA 16001-4570
(724) 284-4513
(724) 284-4836

Map and Direction




Physician's Profile

Full NameJohn M Sundermann
GenderMale
SpecialityPathology
Experience41 Years
Location1 Hospital Way, Butler, 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:
  • John M Sundermann attended and graduated from University Of Arkansas College Of Medicine in 1983
  NPI Data:
  • NPI Number: 1447213582
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 01/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608968565
  • Enrollment ID: I20191226001930

Medical Identifiers

Medical identifiers for John M Sundermann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447213582NPI-NPPES
301444MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 30144 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Butler Memorial HospitalButler, PAHospital
Clarion HospitalClarion, PAHospital
West Penn HospitalPittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Butler Medical Providers7416840160308

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. John M Sundermann allows following entities to bill medicare on his behalf.
Entity NameButler Medical Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619493046
PECOS PAC ID: 7416840160
Enrollment ID: O20040205000830

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. John M Sundermann 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
John M Sundermann, MD
Po Box 1549,
Butler, PA 16003-1549

Ph: (724) 284-4060
John M Sundermann, MD
1 Hospital Way,
Butler, PA 16001-4570

Ph: (724) 284-4513

Reviews and Comments


Pathology Doctors in Butler, PA

Dr. William A. Michalak, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 911 E Brady St, Butler, PA 16001
Phone: 724-284-4510    Fax: 724-284-4144
Edgar A. Sotomayor, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 911 E Brady St, Butler, PA 16001
Phone: 724-284-4510    

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.