Michael P Sumida, MD - Medicare General Surgery in Athens, TN

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Michael P Sumida, MD is a medicare enrolled "Surgery" physician in Athens, Tennessee. He went to University Of Kentucky College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Advanced Diagnostic Imaging Pc and his current practice location is 719 Cook Dr, Ste 109, Athens, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 745-2344.

Michael P Sumida is licensed to practice in Tennessee (license number MD27304) 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 1609835115.

Contact Information

Michael P Sumida, MD
719 Cook Dr, Ste 109,
Athens, TN 37303-3495
(423) 745-2344
(423) 745-2314

Map and Direction




Physician's Profile

Full NameMichael P Sumida
GenderMale
SpecialityGeneral Surgery
Experience30 Years
Location719 Cook Dr, Athens, Tennessee
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 P Sumida attended and graduated from University Of Kentucky College Of Medicine in 1994
  NPI Data:
  • NPI Number: 1609835115
  • Provider Enumeration Date: 03/22/2006
  • Last Update Date: 03/01/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8527183516
  • Enrollment ID: I20100914001079

Medical Identifiers

Medical identifiers for Michael P Sumida such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609835115NPI-NPPES
3096585MedicaidTN
3146634OtherTNBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD27304 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Starr Regional Medical Center AthensAthens, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Diagnostic Imaging Pc7315848140547

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 P Sumida allows following entities to bill medicare on his behalf.
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677

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 P Sumida 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 P Sumida, MD
Po Box 667,
Etowah, TN 37331-0667

Ph: (423) 745-2344		Michael P Sumida, MD
719 Cook Dr, Ste 109,
Athens, TN 37303-3495

Ph: (423) 745-2344

Reviews and Comments


Surgery Doctors in Athens, TN

Nicholas Ballay, MD
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 719 Cook Dr, Athens, TN 37303
Phone: 423-745-2344    Fax: 423-745-2314
Preston W Brown, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 719 Cook Dr, Ste 109, Athens, TN 37303
Phone: 423-745-2344    Fax: 423-745-2314
Thomas S Layman, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 719 Cook Dr, Suite 110, Athens, TN 37303
Phone: 423-745-2344    Fax: 423-745-2314

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.