Albert B Defranco, MD - Medicare Family Medicine in Wind Gap, PA

Albert B Defranco, MD is a medicare enrolled "Family Medicine" physician in Wind Gap, Pennsylvania. His current practice location is 497 Bushkill Plaza Ln, Wind Gap, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 863-7020.

Albert B Defranco is licensed to practice in Pennsylvania (license number MD040815L) 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 1114992351.

Contact Information

Albert B Defranco, MD
497 Bushkill Plaza Ln,
Wind Gap, PA 18091-9665
(610) 863-7020
(610) 863-5504

Map and Direction




Physician's Profile

Full NameAlbert B Defranco
GenderMale
SpecialityFamily Medicine
Location497 Bushkill Plaza Ln, Wind Gap, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114992351
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 02/09/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0941279384
  • Enrollment ID: I20041005000907

Medical Identifiers

Medical identifiers for Albert B Defranco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114992351NPI-NPPES
0010545340003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD040815L (Pennsylvania)Primary

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. Albert B Defranco allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062

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. Albert B Defranco 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
Albert B Defranco, MD
497 Bushkill Plaza Ln,
Wind Gap, PA 18091-9665

Ph: (610) 863-7020
Albert B Defranco, MD
497 Bushkill Plaza Ln,
Wind Gap, PA 18091-9665

Ph: (610) 863-7020

Reviews and Comments


Family Medicine Doctors in Wind Gap, PA

Dr. Lindsay Goffredo Hughes, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 1411 Jacobsburg Rd, Wind Gap, PA 18091
Phone: 610-861-8080    Fax: 610-452-3016
Joseph E Cesanek, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 951 Male Rd, Wind Gap, PA 18091
Phone: 610-654-1000    Fax: 610-654-1004
Dr. Sheila Mary Borick, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 487 E Moorestown Rd, #101, Wind Gap, PA 18091
Phone: 610-863-7888    Fax: 610-863-1081
Wayne J Brotzman Jr., D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 826 S Broadway, Wind Gap, PA 18091
Phone: 610-863-3019    Fax: 610-863-6732
Dr. Michael John Baba, .D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 487 E Moorestown Rd, Suite #101, Wind Gap, PA 18091
Phone: 484-526-7888    Fax: 484-526-6998
Dr. Joseph M Daday, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 951 Male Rd, Wind Gap, PA 18091
Phone: 610-654-5454    Fax: 610-654-5458

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.