Monika Kumanova, MD - Medicare Family Practice in Philadelphia, PA

Monika Kumanova, MD is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Pentahealth, Llc and her current practice location is 1840 South St, Tuttleman Building, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 893-6200.

Monika Kumanova is licensed to practice in Pennsylvania (license number MD451181) 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 1568773042.

Contact Information

Monika Kumanova, MD
1840 South St, Tuttleman Building,
Philadelphia, PA 19146-7411
(215) 893-6200
Not Available

Map and Direction




Physician's Profile

Full NameMonika Kumanova
GenderFemale
SpecialityFamily Practice
Experience24 Years
Location1840 South 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:
  • Monika Kumanova graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1568773042
  • Provider Enumeration Date: 06/29/2010
  • Last Update Date: 07/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7911125190
  • Enrollment ID: I20140829001573

Medical Identifiers

Medical identifiers for Monika Kumanova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568773042NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD451181 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Penn Medicine Home HealthBala cynwyd, PAHome health agency
Chester County HospitalWest chester, PAHospital
Lancaster General HospitalLancaster, PAHospital
Paoli HospitalPaoli, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pentahealth, Llc953758667259

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. Monika Kumanova allows following entities to bill medicare on her behalf.
Entity NameClinical Health Care Associates Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437326683
PECOS PAC ID: 0749180198
Enrollment ID: O20140716002424
Entity NamePentahealth, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639787740
PECOS PAC ID: 9537586672
Enrollment ID: O20200903000805

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. Monika Kumanova 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
Monika Kumanova, MD
1840 South St, Tuttleman Building,
Philadelphia, PA 19146-7411

Ph: (215) 893-6200
Monika Kumanova, MD
1840 South St, Tuttleman Building,
Philadelphia, PA 19146-7411

Ph: (215) 893-6200

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).

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.