Gustavo Nino Barrera, MD - Medicare Pediatric Medicine in Hershey, PA

Gustavo Nino Barrera, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Hershey, Pennsylvania. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Childrens Hospital and his current practice location is 500 University Dr, Hershey, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (800) 243-1455.

Gustavo Nino Barrera is licensed to practice in Pennsylvania (license number MD429788) 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 1639362114.

Contact Information

Gustavo Nino Barrera, MD
500 University Dr,
Hershey, PA 17033-2360
(800) 243-1455
Not Available

Map and Direction




Physician's Profile

Full NameGustavo Nino Barrera
GenderMale
SpecialityPediatric Medicine
Experience25 Years
Location500 University Dr, Hershey, 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:
  • Gustavo Nino Barrera graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1639362114
  • Provider Enumeration Date: 08/20/2007
  • Last Update Date: 12/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7618023433
  • Enrollment ID: I20121105000176

Medical Identifiers

Medical identifiers for Gustavo Nino Barrera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639362114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0214XPediatrics - Pediatric Pulmonology MD429788 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Childrens Hospital0244143170131

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. Gustavo Nino Barrera allows following entities to bill medicare on his behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

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. Gustavo Nino Barrera 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
Gustavo Nino Barrera, MD
500 University Dr,
Hershey, PA 17033-2360

Ph: (800) 243-1455
Gustavo Nino Barrera, MD
500 University Dr,
Hershey, PA 17033-2360

Ph: (800) 243-1455

Reviews and Comments


Pediatrics Doctors in Hershey, PA

Kanthi Bangalore Krishna, MBBS
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 University Dr, Hershey, PA 17033
Phone: 800-243-1455    
Emily Elizabeth Gibbons,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 University Dr, Hershey, PA 17033
Phone: 717-531-8521    
Eric J Michael, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 500 University Dr, Hershey, PA 17033
Phone: 800-233-4082    
Roopa Siddaiah, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 University Dr, Hershey, PA 17033
Phone: 717-531-5338    Fax: 717-531-0761
Timothy Roach, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 University Dr, Hershey, PA 17033
Phone: 717-531-6039    
Megan Ilgenfritz, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 University Dr, Hershey, PA 17033
Phone: 717-531-5606    Fax: 717-531-0648
Margaret Storm,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Penn State Health Milton S Hershey Medical Center, 500 University Drive, Hershey, PA 17033
Phone: 717-531-7300    Fax: 717-531-8992

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.