John J Sutton, MD - Medicare Family Practice in Warren, PA

John J Sutton, MD is a medicare enrolled "Family Medicine" physician in Warren, Pennsylvania. He went to New York Medical College and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Warren General Hospital and his current practice location is 103 W Saint Clair St Rm 2a, Warren, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 723-1212.

John J Sutton is licensed to practice in Pennsylvania (license number MD054007L) 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 1164490025.

Contact Information

John J Sutton, MD
103 W Saint Clair St Rm 2a,
Warren, PA 16365-2188
(814) 723-1212
Not Available

Map and Direction




Physician's Profile

Full NameJohn J Sutton
GenderMale
SpecialityFamily Practice
Experience36 Years
Location103 W Saint Clair St Rm 2a, Warren, 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:
  • John J Sutton attended and graduated from New York Medical College in 1988
  NPI Data:
  • NPI Number: 1164490025
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 08/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587673934
  • Enrollment ID: I20060412000298

Medical Identifiers

Medical identifiers for John J Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164490025NPI-NPPES
529218OtherPAHIGHMARK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD054007L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospital Home Care ServicesWarren, PAHome health agency
Darling's Home CareWarren, PAHome health agency
Warren General HospitalWarren, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Warren General Hospital488050140244

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. John J Sutton allows following entities to bill medicare on his behalf.
Entity NameWarren General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508803701
PECOS PAC ID: 4880501402
Enrollment ID: O20060412000247

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. John J Sutton 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
John J Sutton, MD
2 W Crescent Park,
Warren, PA 16365-2111

Ph: (814) 723-3300
John J Sutton, MD
103 W Saint Clair St Rm 2a,
Warren, PA 16365-2188

Ph: (814) 723-1212

Reviews and Comments


Family Medicine Doctors in Warren, PA

Ronald William Simonsen, MD
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Practice Location: 341 Bird Ave, Warren, PA 16365
Phone: 814-723-6858    
Manu Kaushik, MD
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Practice Location: 2 W Crescent Park, Warren, PA 16365
Phone: 814-723-3300    
Jay E Endres, MD
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Practice Location: 12 Elm St, Warren, PA 16365
Phone: 814-723-3520    Fax: 814-726-2988
Mr. Damian T Horner, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 10 Plumber St, Warren, PA 16365
Phone: 814-723-7229    Fax: 814-723-1518
Dr. Vikas Sacher, MBBS
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Warren General Hospital, 2 W Crescent Park, Warren, PA 16365
Phone: 814-723-4973    
Dr. Stanley J Sivak, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2 W Crescent Park, Warren, PA 16365
Phone: 814-723-4973    Fax: 814-723-6095

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.