Michael C Neiswonger, CRNP is a medicare enrolled "Nurse Practitioner - Family" in East Brady, Pennsylvania. He graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Primary Health Network and his current practice location is
419 Kellys Way, East Brady, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 526-5600.
Michael C Neiswonger is licensed to practice in Pennsylvania (license number SP008188) 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 1598748022.
Provider's Profile
| Full Name | Michael C Neiswonger |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 419 Kellys Way, East Brady, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael C Neiswonger graduated from nursing school in 2003
NPI Data:
- NPI Number: 1598748022
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800846486
- Enrollment ID: I20050201000222
Medical Identifiers
Medical identifiers for Michael C Neiswonger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598748022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP008188 (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN507498L (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Primary Health Network | 9234046228 | 54 |
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. Michael C Neiswonger allows following entities to bill medicare on his behalf.
| Entity Name | Primary Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417932609
PECOS PAC ID: 9234046228
Enrollment ID: O20031124000553 |
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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. Michael C Neiswonger 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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Michael C Neiswonger, CRNP
100 Shenango Ave,
Sharon, PA 16146-1503
Ph: (724) 526-5600 | Michael C Neiswonger, CRNP
419 Kellys Way,
East Brady, PA 16028-2003
Ph: (724) 526-5600 |
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