St Claire Gitau Sumaili, MD - Medicare Family Practice in Albany, GA

St Claire Gitau Sumaili, MD is a medicare enrolled "Family Medicine" physician in Albany, Georgia. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Albany Area Primary Health Care, Inc, Phoebe Physician Group Inc and her current practice location is 2403 Osler Ct Ste A, Albany, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 405-6196.

St Claire Gitau Sumaili is licensed to practice in Georgia (license number 074538) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275911828.

Contact Information

St Claire Gitau Sumaili, MD
2403 Osler Ct Ste A,
Albany, GA 31707-0205
(229) 405-6196
Not Available

Map and Direction




Physician's Profile

Full NameSt Claire Gitau Sumaili
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location2403 Osler Ct Ste A, Albany, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • St Claire Gitau Sumaili graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1275911828
  • Provider Enumeration Date: 05/15/2015
  • Last Update Date: 06/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577871094
  • Enrollment ID: I20151002001836

Medical Identifiers

Medical identifiers for St Claire Gitau Sumaili such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275911828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 074538 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoebe Sumter Medical CenterAmericus, GAHospital
Phoebe Putney Memorial HospitalAlbany, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Albany Area Primary Health Care, Inc791181192253
Phoebe Physician Group Inc8426112350351

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. St Claire Gitau Sumaili allows following entities to bill medicare on her behalf.
Entity NameAlbany Area Primary Health Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780608992
PECOS PAC ID: 7911811922
Enrollment ID: O20040217000509
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583

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. St Claire Gitau Sumaili 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
St Claire Gitau Sumaili, MD
2403 Osler Ct Ste A,
Albany, GA 31707-0205

Ph: (229) 405-6196
St Claire Gitau Sumaili, MD
2403 Osler Ct Ste A,
Albany, GA 31707-0205

Ph: (229) 405-6196

Reviews and Comments


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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.