Toni Sicenica, MD - Medicare Pulmonary Disease in Jefferson Hills, PA

Toni Sicenica, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Jefferson Hills, Pennsylvania. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Pulmonary Disease. His current practice location is 1200 Brooks Ln, Suite 130, Jefferson Hills, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 469-3600.

Toni Sicenica is licensed to practice in Pennsylvania (license number MD073848L) 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 1235123159.

Contact Information

Toni Sicenica, MD
1200 Brooks Ln, Suite 130,
Jefferson Hills, PA 15025-3747
(412) 469-3600
(412) 469-3630

Map and Direction




Physician's Profile

Full NameToni Sicenica
GenderMale
SpecialityPulmonary Disease
Experience37 Years
Location1200 Brooks Ln, Jefferson Hills, 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:
  • Toni Sicenica graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1235123159
  • Provider Enumeration Date: 09/07/2005
  • Last Update Date: 04/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7810961927
  • Enrollment ID: I20150425000211

Medical Identifiers

Medical identifiers for Toni Sicenica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235123159NPI-NPPES
001896215MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease MD073848L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Weirton Medical CenterWeirton, WVHospital

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. Toni Sicenica allows following entities to bill medicare on his behalf.
Entity NamePittsburgh Pulmonary Medicine, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528352150
PECOS PAC ID: 3971781519
Enrollment ID: O20150424001994

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. Toni Sicenica 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
Toni Sicenica, MD
1019 Summerset Dr,
Pittsburgh, PA 15217-2550

Ph: (412) 521-7375
Toni Sicenica, MD
1200 Brooks Ln, Suite 130,
Jefferson Hills, PA 15025-3747

Ph: (412) 469-3600

Reviews and Comments


Internal Medicine Doctors in Jefferson Hills, PA

Gennady Geskin, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1633 Route 51, Suite 103, Jefferson Hills, PA 15025
Phone: 412-469-1500    Fax: 412-469-1531
Dr. Ramesh Pandey, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 575 Coal Valley Rd Ste 503, Jefferson Hills, PA 15025
Phone: 412-267-6263    Fax: 412-267-6264
Paul David Laman Jr., MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Brooks Ln, Suite 130, Jefferson Hills, PA 15025
Phone: 412-469-3600    Fax: 412-469-3630
Meshaim Hussain,
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025
Phone: 412-267-6810    
Alan D Bramowitz, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1633 Route 51, Suite 103, Jefferson Hills, PA 15025
Phone: 412-469-1500    Fax: 412-469-1531
Jason Rodemoyer, DO
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025
Phone: 412-578-6808    Fax: 412-688-7517

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.