Sumon Agarwala, MD - Medicare Internal Medicine in Collegeville, PA

Sumon Agarwala, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Collegeville, Pennsylvania. His current practice location is 100 Market St Ste 300, Collegeville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 622-6401.

Sumon Agarwala is licensed to practice in Pennsylvania (license number MD424645) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073542718.

Contact Information

Sumon Agarwala, MD
100 Market St Ste 300,
Collegeville, PA 19426-4927
(484) 622-6401
(484) 622-6403

Map and Direction




Physician's Profile

Full NameSumon Agarwala
GenderMale
SpecialityInternal Medicine - Endocrinology, Diabetes & Metabolism
Location100 Market St Ste 300, Collegeville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073542718
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 11/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3870566789
  • Enrollment ID: I20040818000871

Medical Identifiers

Medical identifiers for Sumon Agarwala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073542718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism MD424645 (Pennsylvania)Primary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism MA07458300 (New Jersey)Secondary

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. Sumon Agarwala allows following entities to bill medicare on his behalf.
Entity NameFornance Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053363523
PECOS PAC ID: 8527962661
Enrollment ID: O20040216000037

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. Sumon Agarwala 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
Sumon Agarwala, MD
Po Box 789967,
Philadelphia, PA 19178-9967

Ph: (484) 622-7395
Sumon Agarwala, MD
100 Market St Ste 300,
Collegeville, PA 19426-4927

Ph: (484) 622-6401

Reviews and Comments


Internal Medicine Doctors in Collegeville, PA

Dr. Lisa L Hamaker, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 100 Market St Ste 300, Collegeville, PA 19426
Phone: 484-622-6401    Fax: 484-622-6403
Gretchen Guzek White, MD
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 1250 S Collegeville Rd Bldg 5, Collegeville, PA 19426
Phone: 610-917-5426    
Dr. Charles Thomas Molta, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 500 Arcola Road, E6232, Collegeville, PA 19426
Phone: 484-865-2375    Fax: 253-322-6390
Dr. Ogbugo Kalu Emeh, M.D
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1411 S Collegeville Rd, Collegeville, PA 19426
Phone: 484-902-1893    
Dr. Suzette Y Osei, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 1250 S Collegeville Rd, Glaxosmith Kline Pharmaceutical, Collegeville, PA 19426
Phone: 610-917-6880    Fax: 610-917-4177
Gayle P Orczyk, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: Wyeth Research, 500 Arcola Road, Collegeville, PA 19426
Phone: 484-865-5567    

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).

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