Mr Masato Sugiura, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Scranton, Pennsylvania. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Medical Foundation and his current practice location is
501 Madison Avenue, Tobin Hall, Scranton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 343-2383.
Mr Masato Sugiura is licensed to practice in Pennsylvania (license number ) 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 1801220710.
Physician's Profile
Full Name | Mr Masato Sugiura |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 11 Years |
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Location | 501 Madison Avenue, Scranton, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Masato Sugiura graduated from medical school in 2013
NPI Data:
- NPI Number: 1801220710
- Provider Enumeration Date: 08/27/2013
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254633753
- Enrollment ID: I20160914002375
Medical Identifiers
Medical identifiers for Mr Masato Sugiura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801220710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OT015563 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Medical Foundation | 8921993205 | 1312 |
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. Mr Masato Sugiura allows following entities to bill medicare on his behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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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. Mr Masato Sugiura 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 Address | Practice Location Address |
Mr Masato Sugiura, DO 501 Madison Avenue, Tobin Hall, Scranton, PA 18510 Ph: (570) 343-2383 | Mr Masato Sugiura, DO 501 Madison Avenue, Tobin Hall, Scranton, PA 18510 Ph: (570) 343-2383 |
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