Robin Louise Sims, MD - Medicare Pediatrics in Mckeesport, PA

Robin Louise Sims, MD is a medicare enrolled "Pediatrics" physician in Mckeesport, Pennsylvania. Her current practice location is 627 Lysle Blvd, Mckeesport Family Health Center, Mckeesport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (417) 664-4112.

Robin Louise Sims is licensed to practice in Pennsylvania (license number MD028321E) 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 1750340006.

Contact Information

Robin Louise Sims, MD
627 Lysle Blvd, Mckeesport Family Health Center,
Mckeesport, PA 15132
(417) 664-4112
(412) 664-0290

Map and Direction




Physician's Profile

Full NameRobin Louise Sims
GenderFemale
SpecialityPediatrics
Location627 Lysle Blvd, Mckeesport, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750340006
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 12/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729202320
  • Enrollment ID: I20140916001954

Medical Identifiers

Medical identifiers for Robin Louise Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750340006NPI-NPPES
0977239MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD028321E (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. Robin Louise Sims allows following entities to bill medicare on her behalf.
Entity NamePrimary Care Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487724084
PECOS PAC ID: 7012825722
Enrollment ID: O20110111000808

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. Robin Louise Sims 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
Robin Louise Sims, MD
7227 Hamilton Ave, Primary Care Health Services Inc,
Pittsburgh, PA 15208

Ph: (412) 244-4700
Robin Louise Sims, MD
627 Lysle Blvd, Mckeesport Family Health Center,
Mckeesport, PA 15132

Ph: (417) 664-4112

Reviews and Comments


Pediatrics Doctors in Mckeesport, PA

Mrs. Isabel R Aure, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4304 Walnut St, Ste 9, Mckeesport, PA 15132
Phone: 412-751-4330    Fax: 412-751-4331
Lauren Elliott, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1321 Fifth Ave Ste 1, Mckeesport, PA 15132
Phone: 412-664-2782    

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.