Charles Edward Spingola, MD - Medicare Orthopaedic Surgery in Butler, PA

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Charles Edward Spingola, MD is a medicare enrolled "Orthopaedic Surgery" physician in Butler, Pennsylvania. His current practice location is 131 Grosvenor Ave, Butler, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 679-8527.

Charles Edward Spingola is licensed to practice in Pennsylvania (license number MD 037925 E) 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 1568466951.

Contact Information

Charles Edward Spingola, MD
131 Grosvenor Ave,
Butler, PA 16001-1618
(724) 679-8527
(724) 278-8549

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Physician's Profile

Full NameCharles Edward Spingola
GenderMale
SpecialityOrthopaedic Surgery
Location131 Grosvenor Ave, Butler, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568466951
  • Provider Enumeration Date: 06/13/2005
  • Last Update Date: 11/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830166677
  • Enrollment ID: I20110210000406

Medical Identifiers

Medical identifiers for Charles Edward Spingola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568466951NPI-NPPES
0010833110001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD 037925 E (Pennsylvania)Primary
207X00000XOrthopaedic Surgery LT4098 (New Hampshire)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. Charles Edward Spingola allows following entities to bill medicare on his behalf.
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

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. Charles Edward Spingola 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
Charles Edward Spingola, MD
131 Grosvenor Ave,
Butler, PA 16001-1618

Ph: (724) 679-8527		Charles Edward Spingola, MD
131 Grosvenor Ave,
Butler, PA 16001-1618

Ph: (724) 679-8527

Reviews and Comments


Orthopaedic Surgery Doctors in Butler, PA

Barry Dunn Hootman, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 301 1st St, Ste 200, Butler, PA 16001
Phone: 724-289-3787    Fax: 724-287-5899

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.