Stephen J Pandolph, MD - Medicare Family Medicine in State College, PA

Stephen J Pandolph, MD is a medicare enrolled "Family Medicine" physician in State College, Pennsylvania. He went to Hahnemann University College Of Medicine and graduated in 1978 and has 42 years of diverse experience with area of expertise as Family Medicine. He is a member of the group practice Upmc Altoona Regional Health Services, Inc. and his current practice location is 1528 Martin St, State College, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 234-4811.

Stephen J Pandolph is licensed to practice in Pennsylvania (license number MD025078E) 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 1053311761.

Contact Information

Stephen J Pandolph, MD
1528 Martin St,
State College, PA 16803-3058
(814) 234-4811
(814) 231-4896

Map and Direction




Physician's Profile

Full NameStephen J Pandolph
GenderMale
SpecialityFamily Medicine
Experience42 Years
Location1528 Martin St, State College, 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:
  • Stephen J Pandolph attended and graduated from Hahnemann University College Of Medicine in 1978
  NPI Data:
  • NPI Number: 1053311761
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4880602572
  • Enrollment ID: I20060324000017

Medical Identifiers

Medical identifiers for Stephen J Pandolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053311761NPI-NPPES
1001773MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD025078E (Pennsylvania)Primary

Hospital Affiliation

Hospital NameLocationType
Mount Nittany Medical CenterState college, PAAcute Care Hospital
Penn Highlands HuntindonHuntingdon, PAAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upmc Altoona Regional Health Services, Inc.5395659312212

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. Stephen J Pandolph allows following entities to bill medicare on his behalf.
Entity NameUpmc Altoona Regional Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396724217
PECOS PAC ID: 5395659312
Enrollment ID: O20040312000257
Entity NamePandolph & Polansky Family Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861455792
PECOS PAC ID: 8527076215
Enrollment ID: O20060322000088

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. Stephen J Pandolph 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
Stephen J Pandolph, MD
1528 Martin St,
State College, PA 16803-3058

Ph: (814) 234-2007
Stephen J Pandolph, MD
1528 Martin St,
State College, PA 16803-3058

Ph: (814) 234-4811

Reviews and Comments

Family Medicine Doctors in State College, PA

Dr. Ryan R Ridenour, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-278-4818    Fax: 814-234-6150
Kathryn Gloyer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1850 E Park Ave, Suite 112, State College, PA 16803
Phone: 814-865-3566    
Franklin James Berkey, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 476 Rolling Ridge Dr, Suite 101, State College, PA 16801
Phone: 814-689-4980    Fax: 814-689-4990
Gary Franklin Schell, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 140 W North Hills Pl, State College, PA 16803
Phone: 814-238-8880    Fax: 814-765-8499
Stacy D Emile, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-278-4818    Fax: 814-234-6150
Rogers Dubose Mclane, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 251 Easterly Parkway, Suite 102, State College, PA 16801
Phone: 814-231-4043    Fax: 814-231-5274

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.