Michael W Semelka, DO - Medicare Family Practice in Norvelt, PA

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Michael W Semelka, DO is a medicare enrolled "Family Medicine" physician in Norvelt, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Excela Health Physician Practices, Inc and his current practice location is 3888 Route 981, Norvelt, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 423-4051.

Michael W Semelka is licensed to practice in Pennsylvania (license number OS011862) 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 1639112840.

Contact Information

Michael W Semelka, DO
3888 Route 981,
Norvelt, PA 15674
(724) 423-4051
(724) 423-7711

Map and Direction




Physician's Profile

Full NameMichael W Semelka
GenderMale
SpecialityFamily Practice
Experience24 Years
Location3888 Route 981, Norvelt, 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:
  • Michael W Semelka attended and graduated from Philadelphia College Of Osteopathic Medicine in 2000
  NPI Data:
  • NPI Number: 1639112840
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 01/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1153383344
  • Enrollment ID: I20050902000623

Medical Identifiers

Medical identifiers for Michael W Semelka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639112840NPI-NPPES
0019128650004MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS011862 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Excela Health Home Care & HospiceGreensburg, PAHome health agency
Excela Health - Frick HospitalMount pleasant, PAHospital
Excela Health Latrobe HospitalLatrobe, PAHospital
Excela Health Westmoreland Regional HospitalGreensburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Excela Health Physician Practices, Inc6204737117438

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. Michael W Semelka allows following entities to bill medicare on his behalf.
Entity NameExcela Health Physician Practices, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821225202
PECOS PAC ID: 6204737117
Enrollment ID: O20040322001393

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. Michael W Semelka 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
Michael W Semelka, DO
520 Jefferson Ave, Suite 400,
Jeannette, PA 15644-2538

Ph: (724) 527-8060		Michael W Semelka, DO
3888 Route 981,
Norvelt, PA 15674

Ph: (724) 423-4051

Reviews and Comments


Family Medicine Doctors in Norvelt, PA

Jerome W Gera, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Route 981, Norvelt, PA 15674
Phone: 724-423-4051    Fax: 724-423-7711
Jonathan M Wilson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Route 981, Norvelt, PA 15674
Phone: 724-423-4051    Fax: 724-423-7711

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.