Annie E Sumrall, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Elkland, Pennsylvania. Her current practice location is
103 Forestview Ave, Elkland, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 258-5117.
Annie E Sumrall is licensed to practice in Pennsylvania (license number SP021028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649821067.
Provider's Profile
| Full Name | Annie E Sumrall |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 103 Forestview Ave, Elkland, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649821067
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 07/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648606301
- Enrollment ID: I20200129000944
Medical Identifiers
Medical identifiers for Annie E Sumrall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649821067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | SP021028 (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN704632 (Pennsylvania) | 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. Annie E Sumrall allows following entities to bill medicare on her behalf.
| Entity Name | North Penn Comprehensive Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912093576
PECOS PAC ID: 0446245880
Enrollment ID: O20040416000152 |
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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. Annie E Sumrall 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 Address | Practice Location Address |
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Annie E Sumrall,
40 W Wellsboro St,
Mansfield, PA 16933-1411
Ph: (570) 662-1945 | Annie E Sumrall,
103 Forestview Ave,
Elkland, PA 16920-1497
Ph: (814) 258-5117 |
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