Monika Kusuma Pringle, MD - Medicare Family Medicine in Johnstown, PA

Monika Kusuma Pringle, MD is a medicare enrolled "Family Medicine" physician in Johnstown, Pennsylvania. Her current practice location is Dlp Conemaugh Memorial Medical Center, 1020 Franklin Street Suite 202, Johnstown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 534-1722.

Monika Kusuma Pringle is licensed to practice in Pennsylvania (license number MD483669) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114588837.

Contact Information

Monika Kusuma Pringle, MD
Dlp Conemaugh Memorial Medical Center, 1020 Franklin Street Suite 202,
Johnstown, PA 15905
(814) 534-1722
(814) 534-1814

Map and Direction




Physician's Profile

Full NameMonika Kusuma Pringle
GenderFemale
SpecialityFamily Medicine
LocationDlp Conemaugh Memorial Medical Center, Johnstown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114588837
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 06/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264768514
  • Enrollment ID: I20240206003672

Medical Identifiers

Medical identifiers for Monika Kusuma Pringle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114588837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD483669 (Pennsylvania)Primary

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. Monika Kusuma Pringle allows following entities to bill medicare on her behalf.
Entity NameDlp Conemaugh Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932515905
PECOS PAC ID: 7315166949
Enrollment ID: O20140915002522

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. Monika Kusuma Pringle 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
Monika Kusuma Pringle, MD
1086 Franklin Street, Family Medical Center,
Johnstown, PA 15905

Ph: (814) 534-9106
Monika Kusuma Pringle, MD
Dlp Conemaugh Memorial Medical Center, 1020 Franklin Street Suite 202,
Johnstown, PA 15905

Ph: (814) 534-1722

Reviews and Comments


Family Medicine Doctors in Johnstown, PA

Sai Harsha Bobba, MD
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Medicare: Medicare Enrolled
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9364    Fax: 814-534-5599
Bonifacio Tan Aguilera, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 307 Terlyn Drive, Johnstown, PA 15904
Phone: 814-467-6378    
Dr. Sahar Elias, MD
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Medicare: Medicare Enrolled
Practice Location: 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904
Phone: 814-269-5200    Fax: 814-269-5070
Sandeep Mahal, MD
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Medicare: Medicare Enrolled
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9364    
Fredrick William Munzer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 Theatre Dr, Johnstown, PA 15904
Phone: 814-269-4507    Fax: 814-288-0194
Erica Korin Wentz, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1086 Franklin St, Johnstown, PA 15905
Phone: 814-534-9106    
Mark Mitchell Malicki, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 322 Warren St, Ste 300, Johnstown, PA 15905
Phone: 814-288-1418    Fax: 814-288-1525

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.