Andrea Marie Requa, DO - Medicare Family Medicine in Harrisburg, PA

  1. Home
  2. Family Medicine
  3. PA
  4. Harrisburg
Andrea Marie Requa, DO is a medicare enrolled "Family Medicine" physician in Harrisburg, Pennsylvania. Her current practice location is 5125 Jonestown Rd Ste 105, Harrisburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 943-1566.

Andrea Marie Requa is licensed to practice in Pennsylvania (license number OS007422E) 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 1144284654.

Contact Information

Andrea Marie Requa, DO
5125 Jonestown Rd Ste 105,
Harrisburg, PA 17112-2987
(717) 943-1566
(717) 943-1567

Map and Direction




Physician's Profile

Full NameAndrea Marie Requa
GenderFemale
SpecialityFamily Medicine
Location5125 Jonestown Rd Ste 105, Harrisburg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144284654
  • Provider Enumeration Date: 04/12/2006
  • Last Update Date: 10/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0345277166
  • Enrollment ID: I20050725000117

Medical Identifiers

Medical identifiers for Andrea Marie Requa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144284654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS007422E (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. Andrea Marie Requa allows following entities to bill medicare on her behalf.
Entity NamePennsylvania Department Of Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376526111
PECOS PAC ID: 0547168064
Enrollment ID: O20040930000019

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. Andrea Marie Requa 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
Andrea Marie Requa, DO
Po Box 758952,
Baltimore, MD 21275-8952

Ph: (804) 968-5700		Andrea Marie Requa, DO
5125 Jonestown Rd Ste 105,
Harrisburg, PA 17112-2987

Ph: (717) 943-1566

Reviews and Comments


Family Medicine Doctors in Harrisburg, PA

David Metzger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-231-8772    Fax: 717-231-8435
Dr. Michael Timothy Partin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112
Phone: 717-657-4040    Fax: 717-671-9038
Melissa Denham Gage, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112
Phone: 717-943-1566    
Abraham Robert Taylor, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 121 N Nyes Rd Ste A, Harrisburg, PA 17112
Phone: 717-657-4040    Fax: 717-671-9038
Dr. Denise F Montisano, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 805 Sir Thomas Ct, 2nd Floor, Harrisburg, PA 17109
Phone: 717-657-3030    Fax: 717-671-0991
Dr. Bolanle Asuni Limann, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 S 17th St, Harrisburg, PA 17104
Phone: 717-232-9971    
Dr. Christian Humberto Caicedo, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 S Front St, Harrisburg, PA 17101
Phone: 717-988-0000    Fax: 717-782-5716

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.