Michael Anthony Mcguire, MD - Medicare Family Practice in Exton, PA

Michael Anthony Mcguire, MD is a medicare enrolled "Family Medicine" physician in Exton, Pennsylvania. He went to Howard University College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Pentahealth, Llc and his current practice location is 770 W Lincoln Hwy, Exton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 269-1372.

Michael Anthony Mcguire is licensed to practice in Pennsylvania (license number MD056813L) 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 1043356066.

Contact Information

Michael Anthony Mcguire, MD
770 W Lincoln Hwy,
Exton, PA 19341-2547
(610) 269-1372
(610) 269-6951

Map and Direction




Physician's Profile

Full NameMichael Anthony Mcguire
GenderMale
SpecialityFamily Practice
Experience31 Years
Location770 W Lincoln Hwy, Exton, 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:
  • Michael Anthony Mcguire attended and graduated from Howard University College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1043356066
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 10/05/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214071232
  • Enrollment ID: I20100215000397

Medical Identifiers

Medical identifiers for Michael Anthony Mcguire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043356066NPI-NPPES
6119780OtherPACIGNA HMO
0216297000OtherPAIBC HMO
0816374OtherPAAETNA HMO
0216297000OtherPAIBC
535251OtherPAHIGHMARK BCBS
0016864600001MedicaidPA
56820OtherPACOVENTRY HMO
P029888OtherPATRICARE
268224OtherPAMAMSI HMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD056813L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayada Home Health Care, Inc.Exton, PAHome health agency
Penn Medicine Home HealthBala cynwyd, PAHome health agency
Main Line Health Home Care & Hospice - Home HealthRadnor, PAHome health agency
Chester County HospitalWest chester, PAHospital
Lancaster General HospitalLancaster, PAHospital
Paoli HospitalPaoli, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pentahealth, Llc953758667258

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. Michael Anthony Mcguire allows following entities to bill medicare on his behalf.
Entity NameFamily Practice Associates Of Exton & Marshallton, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457480329
PECOS PAC ID: 6507778644
Enrollment ID: O20031105000623
Entity NamePentahealth, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639787740
PECOS PAC ID: 9537586672
Enrollment ID: O20200903000805

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. Michael Anthony Mcguire 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
Michael Anthony Mcguire, MD
770 W Lincoln Hwy,
Exton, PA 19341-2547

Ph: (610) 269-1372
Michael Anthony Mcguire, MD
770 W Lincoln Hwy,
Exton, PA 19341-2547

Ph: (610) 269-1372

Reviews and Comments


Family Medicine Doctors in Exton, PA

Mrs. Corinne Ruggiero, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 605 Gordon Dr, Exton, PA 19341
Phone: 610-363-0248    Fax: 610-363-4004
Jason E. Conwell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 154 Exton Square Mall, Exton, PA 19341
Phone: 484-565-8500    Fax: 610-280-1595
Dr. Marina V. Makous, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 430 Exton Commons, Exton, PA 19341
Phone: 484-876-1362    Fax: 610-363-6131
John N Khalifa, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 93 W Devon Dr, Suite 100, Exton, PA 19341
Phone: 610-321-0200    Fax: 610-594-2625
Emilia Sophia Kleinman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 154 Exton Square Mall, Exton, PA 19341
Phone: 484-565-8500    Fax: 610-280-1595
Meghan Elizabeth Wesolowski, CRNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 860 Springdale Dr Ste 100, Exton, PA 19341
Phone: 610-524-3703    Fax: 610-524-5990

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.