Nestor Garcia, MD - Medicare Pathology in Wilkes Barre, PA

Nestor Garcia, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Wilkes Barre, Pennsylvania. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Wyoming Valley Pathology Associates and his current practice location is 575 N River St, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 829-8111.

Nestor Garcia is licensed to practice in Pennsylvania (license number MD042111E) 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 1114982329.

Contact Information

Nestor Garcia, MD
575 N River St,
Wilkes Barre, PA 18764-0999
(570) 829-8111
Not Available

Map and Direction




Physician's Profile

Full NameNestor Garcia
GenderMale
SpecialityPathology
Experience51 Years
Location575 N River St, Wilkes Barre, 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:
  • Nestor Garcia graduated from medical school in 1973
  NPI Data:
  • NPI Number: 1114982329
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 07/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0143406215
  • Enrollment ID: I20110525000721

Medical Identifiers

Medical identifiers for Nestor Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114982329NPI-NPPES
0012072120005MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0105XPathology - Clinical Pathology/laboratory Medicine MD042111E (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wilkes-barre General HospitalWilkes-barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wyoming Valley Pathology Associates32745089655

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. Nestor Garcia allows following entities to bill medicare on his behalf.
Entity NameLehigh Gastroenterology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619961018
PECOS PAC ID: 0547247447
Enrollment ID: O20040630000028
Entity NameWyoming Valley Pathology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265458988
PECOS PAC ID: 3274508965
Enrollment ID: O20040826001077

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. Nestor Garcia 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
Nestor Garcia, MD
Po Box 1476,
Kingston, PA 18704-0476

Ph: (570) 288-8881
Nestor Garcia, MD
575 N River St,
Wilkes Barre, PA 18764-0999

Ph: (570) 829-8111

Reviews and Comments


Pathology Doctors in Wilkes Barre, PA

Dr. Michelle Renee Pramick, M.D.
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Phone: 570-808-7830    Fax: 570-808-6039
Dr. Rita Aneja, MD
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Phone: 570-654-8492    
Mohamed Samour, M.D.
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Phone: 570-808-4772    Fax: 570-808-6174
Hongbing Deng, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7830    Fax: 570-808-6039
Navid Ahmad, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 575 N River St, Wilkes Barre, PA 18764
Phone: 570-829-8111    
Chelsea Mehr, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7830    Fax: 570-808-6039

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.