Dr Justen Sumner, MD, MPH - Medicare Obstetrics/gynecology in Philadelphia, PA

Dr Justen Sumner, MD, MPH is a medicare enrolled "Obstetrics & Gynecology" physician in Philadelphia, Pennsylvania. He went to Boston University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Aria Health Physician Services and his current practice location is 3998 Red Lion Rd Ste 106, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 612-5481.

Dr Justen Sumner is licensed to practice in Pennsylvania (license number MD464730) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629496294.

Contact Information

Dr Justen Sumner, MD, MPH
3998 Red Lion Rd Ste 106,
Philadelphia, PA 19114-1439
(215) 612-5481
Not Available

Map and Direction




Physician's Profile

Full NameDr Justen Sumner
GenderMale
SpecialityObstetrics/gynecology
Experience10 Years
Location3998 Red Lion Rd Ste 106, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Justen Sumner attended and graduated from Boston University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1629496294
  • Provider Enumeration Date: 04/01/2014
  • Last Update Date: 07/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7517287840
  • Enrollment ID: I20180821001200

Medical Identifiers

Medical identifiers for Dr Justen Sumner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629496294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD464730 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson HeathPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aria Health Physician Services3577467018407

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 Justen Sumner allows following entities to bill medicare on his behalf.
Entity NameAria Health Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750949806
PECOS PAC ID: 3577467018
Enrollment ID: O20040224000045
Entity NameAbington Memorial Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1316189855
PECOS PAC ID: 3274437736
Enrollment ID: O20091218000204
Entity NameAbington Memorial Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1548825243
PECOS PAC ID: 3274437736
Enrollment ID: O20190723002404

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 Justen Sumner 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 Justen Sumner, MD, MPH
3998 Red Lion Rd Ste 106,
Philadelphia, PA 19114-1439

Ph: (215) 612-5481
Dr Justen Sumner, MD, MPH
3998 Red Lion Rd Ste 106,
Philadelphia, PA 19114-1439

Ph: (215) 612-5481

Reviews and Comments


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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).

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