Haitham Abughnia, MD - Medicare Cardiovascular Disease (cardiology) in Clarks Summit, PA

Haitham Abughnia, MD is a medicare enrolled "Internal Medicine" physician in Clarks Summit, Pennsylvania. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Samir B Pancholy Llc and his current practice location is 401 N State St, Clarks Summit, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 587-7817.

Haitham Abughnia is licensed to practice in Pennsylvania (license number MD432322) 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 1437346889.

Contact Information

Haitham Abughnia, MD
401 N State St,
Clarks Summit, PA 18411-1061
(570) 587-7817
(570) 587-7815

Map and Direction




Physician's Profile

Full NameHaitham Abughnia
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience28 Years
Location401 N State St, Clarks Summit, 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:
  • Haitham Abughnia graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1437346889
  • Provider Enumeration Date: 10/01/2007
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810084670
  • Enrollment ID: I20071026000337

Medical Identifiers

Medical identifiers for Haitham Abughnia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437346889NPI-NPPES
102017180MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD432322 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Hospital Of ScrantonScranton, PAHospital
Geisinger-community Medical CenterScranton, PAHospital
Barnes-kasson County HospitalSusquehanna, PAHospital
Wayne Memorial HospitalHonesdale, PAHospital
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samir B Pancholy Llc50928126512

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. Haitham Abughnia allows following entities to bill medicare on his behalf.
Entity NameSamir B Pancholy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350087
PECOS PAC ID: 5092812651
Enrollment ID: O20070517000084

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. Haitham Abughnia 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
Haitham Abughnia, MD
401 N State St,
Clarks Summit, PA 18411-1061

Ph: (570) 587-7817
Haitham Abughnia, MD
401 N State St,
Clarks Summit, PA 18411-1061

Ph: (570) 587-7817

Reviews and Comments


Internal Medicine Doctors in Clarks Summit, PA

Dr. Sun-tak Han, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105 Layton Rd, Clarks Summit, PA 18411
Phone: 570-586-3982    Fax: 570-585-2896
Dr. Michael H Gordon, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 N State St, Clarks Summit, PA 18411
Phone: 570-586-1134    Fax: 570-586-1136
Dr. John Lisiak Jr., D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 611 Morgan Hwy, Clarks Summit, PA 18411
Phone: 570-585-6700    Fax: 570-585-6714
Donald A Kachline, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1451 Hillside Dr, Newton Hall, Medical Office, Clarks Summit, PA 18411
Phone: 570-587-7254    Fax: 570-587-7270
Dr. Sheela S Prahalad, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 319 N State St, Clarks Summit, PA 18411
Phone: 570-586-6087    Fax: 570-586-6072
Mr. Charles Richard Druffner, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1851 Newton Ransom Blvd, Apt#2, Clarks Summit, PA 18411
Phone: 570-587-4344    

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.