Dr Paul Stelmach, MD - Medicare Internal Medicine in Wyomissing, PA

Dr Paul Stelmach, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Wyomissing, Pennsylvania. He went to Pennsylvania State University College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Penn State Health Community Medical Group Llc and his current practice location is 2608 Keiser Blvd, Wyomissing, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 929-5864.

Dr Paul Stelmach is licensed to practice in Pennsylvania (license number MD033174E) 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 1396765384.

Contact Information

Dr Paul Stelmach, MD
2608 Keiser Blvd,
Wyomissing, PA 19610-3333
(610) 929-5864
(610) 929-1528

Map and Direction




Physician's Profile

Full NameDr Paul Stelmach
GenderMale
SpecialityInternal Medicine
Experience41 Years
Location2608 Keiser Blvd, Wyomissing, 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 Paul Stelmach attended and graduated from Pennsylvania State University College Of Medicine in 1983
  NPI Data:
  • NPI Number: 1396765384
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204880867
  • Enrollment ID: I20100310000415

Medical Identifiers

Medical identifiers for Dr Paul Stelmach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396765384NPI-NPPES
0013972330001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease MD033174E (Pennsylvania)Primary
207RC0200XInternal Medicine - Critical Care Medicine MD033174E (Pennsylvania)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Penn State Health Community Medical Group Llc8729351077657

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 Paul Stelmach allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NamePenn State Health Community Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279

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 Paul Stelmach 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 Paul Stelmach, MD
2608 Keiser Blvd,
Wyomissing, PA 19610-3333

Ph: (610) 929-5864
Dr Paul Stelmach, MD
2608 Keiser Blvd,
Wyomissing, PA 19610-3333

Ph: (610) 929-5864

Reviews and Comments


Internal Medicine Doctors in Wyomissing, PA

Nirav R. Shah, MD, MPH
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Reed Ave, Suite 300, Wyomissing, PA 19610
Phone: 610-374-4401    Fax: 610-374-7140
Dr. David F Steffy, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 950b N Wyomissing Blvd, 3rd Floor, Wyomissing, PA 19610
Phone: 610-898-1820    Fax: 610-372-0164
Dr. Michael Bernard Russo, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610
Phone: 610-685-8500    Fax: 610-685-4833
Dr. Pallak Agarwal, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610
Phone: 610-685-5864    Fax: 610-929-1528
Louis La Luna, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Reed Ave, Suite 300, Wyomissing, PA 19610
Phone: 610-374-4401    Fax: 610-374-7140
Tara Lynn Dimino, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610
Phone: 610-685-8500    Fax: 610-685-4833
Dr. John T Van Den Bosch, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 950b N Wyomissing Blvd, 3rd Floor, Wyomissing, PA 19610
Phone: 610-898-1820    Fax: 610-376-0164

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.