Dan S Sciuca, MD is a medicare enrolled "Hospitalist" physician in Portage, Michigan. His current practice location is
1659 Trail Ridge Ave, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 998-5398.
Dan S Sciuca is licensed to practice in Michigan (license number 4301078831) 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 1912989948.
Physician's Profile
Full Name | Dan S Sciuca |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1659 Trail Ridge Ave, Portage, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912989948
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426028804
- Enrollment ID: I20040731000219
Medical Identifiers
Medical identifiers for Dan S Sciuca such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912989948 | NPI | - | NPPES |
4347244 10 | Medicaid | MI | |
700G560080 | Other | MI | BCBS GROUP |
382317300 140 | Other | MI | COMM CHOICE MI-IM |
382317300 154 | Other | MI | COMM CHOICE MI-TR |
4601303 10 | Medicaid | MI | |
143068 | Other | MI | GREAT LAKES HEALTH PLAN-T |
382317300 107 | Other | MI | COMM CHOICE MI-WP |
4460009 10 | Medicaid | MI | |
4848285 | Medicaid | MI | |
1107500612 | Other | MI | BCBS PIN |
4938130 10 | Medicaid | MI | |
0G56008 | Other | MI | MEDICARE GROUP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301078831 (Michigan) | Secondary |
208M00000X | Hospitalist | 4301078831 (Michigan) | 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. Dan S Sciuca allows following entities to bill medicare on his behalf.
Entity Name | Bronson Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
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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. Dan S Sciuca 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 |
Dan S Sciuca, MD 1659 Trail Ridge Ave, Portage, MI 49024-4900 Ph: (269) 998-5398 | Dan S Sciuca, MD 1659 Trail Ridge Ave, Portage, MI 49024 Ph: (269) 998-5398 |
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