Dr Catherine C Muhumuza, MD - Medicare Pediatrics in Wilkes Barre, PA

Dr Catherine C Muhumuza, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Wilkes Barre, Pennsylvania. Her current practice location is 1000 E Mountain Blvd, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 808-8653.

Dr Catherine C Muhumuza is licensed to practice in Pennsylvania (license number MD453056) 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 1265534879.

Contact Information

Dr Catherine C Muhumuza, MD
1000 E Mountain Blvd,
Wilkes Barre, PA 18711-0027
(570) 808-8653
(570) 808-8658

Map and Direction




Physician's Profile

Full NameDr Catherine C Muhumuza
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1000 E Mountain Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265534879
  • Provider Enumeration Date: 09/03/2006
  • Last Update Date: 09/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991928848
  • Enrollment ID: I20140521001043

Medical Identifiers

Medical identifiers for Dr Catherine C Muhumuza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265534879NPI-NPPES
8676402MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 25MA07267500 (New Jersey)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MD453056 (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. Dr Catherine C Muhumuza allows following entities to bill medicare on her behalf.
Entity NameChildren's Health Care Associates Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427152917
PECOS PAC ID: 1052219110
Enrollment ID: O20031229000053

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. Dr Catherine C Muhumuza 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
Dr Catherine C Muhumuza, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144
Dr Catherine C Muhumuza, MD
1000 E Mountain Blvd,
Wilkes Barre, PA 18711-0027

Ph: (570) 808-8653

Reviews and Comments


Pediatrics Doctors in Wilkes Barre, PA

Dr. Jasmine Vincent, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 25 Church St, Wilkes Barre, PA 18765
Phone: 570-808-3181    
Mrs. Connie Beiro Freeman, NNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7300    
Dr. Karen Ann Ephlin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 166 Hanover St, Wilkes Barre, PA 18702
Phone: 570-808-6672    Fax: 570-808-6673
Dr. Akila Venkataraman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7300    
Mr. Leopoldo Poblete Legaspi Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 25 Church St, Wilkes Barre, PA 18702
Phone: 570-808-3100    
Dr. Jayesh B Shah, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-8653    Fax: 570-808-8658
Dr. Michelle K Sudo, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1102 Highway 315 Blvd, Wilkes Barre, PA 18702
Phone: 570-235-1470    Fax: 570-550-9356

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.