Terence James Philbin, MD - Medicare Internal Medicine in Crafton, PA

Terence James Philbin, MD is a medicare enrolled "Internal Medicine" physician in Crafton, Pennsylvania. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Keystone Rehabilitation Systems Inc, Preferred Primary Care Physicians, Inc. and his current practice location is 92 Bradford Ave, Crafton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 922-2111.

Terence James Philbin is licensed to practice in Pennsylvania (license number MD032962E) 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 1649233784.

Contact Information

Terence James Philbin, MD
92 Bradford Ave,
Crafton, PA 15205-3150
(412) 922-2111
(412) 922-7109

Map and Direction




Physician's Profile

Full NameTerence James Philbin
GenderMale
SpecialityInternal Medicine
Experience41 Years
Location92 Bradford Ave, Crafton, Pennsylvania
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:
  • Terence James Philbin attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1649233784
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446335673
  • Enrollment ID: I20101207000148

Medical Identifiers

Medical identifiers for Terence James Philbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649233784NPI-NPPES
0011291800003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD032962E (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tcm Home HealthWashington, PAHome health agency
Amedisys Home Health Of PaUniontown, PAHome health agency
Gallagher Home Health ServicesBridgeville, PAHome health agency
Amedisys Hospice Of PaUniontown, PAHospice
Kindred HospicePittsburgh, PAHospice
Upmc MercyPittsburgh, PAHospital
St Clair HospitalPittsburgh, PAHospital
Heritage Valley SewickleySewickley, PAHospital
Magee Womens Hospital Of Upmc Health SystemPittsburgh, PAHospital
Upmc Presbyterian ShadysidePittsburgh, PAHospital
Marian Manor CorporationPittsburgh, PANursing home
Promedica Skilled Nrsg And Rehab (greentree)Pittsburgh, PANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Keystone Rehabilitation Systems Inc7012826753533
Preferred Primary Care Physicians, Inc.852796725696

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. Terence James Philbin allows following entities to bill medicare on his behalf.
Entity NamePreferred Primary Care Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407826019
PECOS PAC ID: 8527967256
Enrollment ID: O20040102000049
Entity NameCampbell & Philbin Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134121239
PECOS PAC ID: 9830136548
Enrollment ID: O20050414000304

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. Terence James Philbin 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
Terence James Philbin, MD
701 Technology Dr Ste 150,
Canonsburg, PA 15317-9531

Ph: (125) 312-9024
Terence James Philbin, MD
92 Bradford Ave,
Crafton, PA 15205-3150

Ph: (412) 922-2111

Reviews and Comments


Internal Medicine Doctors in Crafton, PA


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.