D/b/a Warren Medical Group - Medicare in Warren, PA

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D/b/a Warren Medical Group is a medicare enrolled "Family Medicine" provider in Warren, Pennsylvania. Their current practice location is 2 Crescent Park W, Warren, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at (814) 723-3300.

D/b/a Warren Medical Group is licensed to practice in Pennsylvania (license number MD429343) and it also participates in the medicare program. D/b/a Warren Medical Group is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508803701.

Contact Information

D/b/a Warren Medical Group
2 Crescent Park W,
Warren, PA 16365-2111
(814) 723-3300
(814) 723-8952

Map and Direction




Healthcare Provider's Profile

Full NameD/b/a Warren Medical Group
TypeFacility
SpecialityFamily Medicine
Location2 Crescent Park W, Warren, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508803701
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 09/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880501402
  • Enrollment ID: O20060412000247

Medical Identifiers

Medical identifiers for D/b/a Warren Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508803701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207Q00000XFamily Medicine MD429343 (Pennsylvania)Primary
207Q00000XFamily Medicine MD434750 (Pennsylvania)Secondary
207Q00000XFamily Medicine MD054007L (Pennsylvania)Secondary
207Q00000XFamily Medicine MD431934 (Pennsylvania)Secondary
207R00000XInternal Medicine MD015867E (Pennsylvania)Secondary
207R00000XInternal Medicine MD16519E (Pennsylvania)Secondary
207R00000XInternal Medicine MD432887 (Pennsylvania)Secondary
207W00000XOphthalmology (* (Not Available))Secondary
208800000XUrology MD432670 (Pennsylvania)Secondary
2088P0231XUrology - Pediatric Urology MD432670 (Pennsylvania)Secondary
208D00000XGeneral Practice MD016651E (Pennsylvania)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. D/b/a Warren Medical Group acts as a billing entity for following providers:
Provider NameWilliam H Wismer
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1346292406
PECOS PAC ID: 2062403041
Enrollment ID: I20040520001127
Provider NameLonnie Heeter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407812167
PECOS PAC ID: 9830134238
Enrollment ID: I20050627000462
Provider NameWilliam C Murray
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841220282
PECOS PAC ID: 6002858511
Enrollment ID: I20060301000714
Provider NameJohn J Sutton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164490025
PECOS PAC ID: 4587673934
Enrollment ID: I20060412000298
Provider NameRobert Keith Price
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992755227
PECOS PAC ID: 6507773538
Enrollment ID: I20060714000070
Provider NameMason Tootell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568675270
PECOS PAC ID: 4183725492
Enrollment ID: I20070730000736
Provider NameDale L Mcnett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790768521
PECOS PAC ID: 2860573979
Enrollment ID: I20090408000385
Provider NameDan H Gottwald
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104889732
PECOS PAC ID: 8527156942
Enrollment ID: I20100121000438
Provider NameIfeoma Jacqueline Igboeli
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1144434374
PECOS PAC ID: 6901091529
Enrollment ID: I20101109000937
Provider NameKenneth Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316903073
PECOS PAC ID: 6305815408
Enrollment ID: I20110512000473
Provider NameTrevor Olsen
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1578774766
PECOS PAC ID: 7810169265
Enrollment ID: I20111007000571
Provider NameLaurie A Fenton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053687186
PECOS PAC ID: 7012169741
Enrollment ID: I20150507002195
Provider NameSusan Knowlden
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1528049707
PECOS PAC ID: 0648573055
Enrollment ID: I20160119001599
Provider NameRegan N Olsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174984116
PECOS PAC ID: 7719278084
Enrollment ID: I20160616000035
Provider NameSimon Levi Amsdell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1376868950
PECOS PAC ID: 9537469614
Enrollment ID: I20160713001091
Provider NameTiffany E Cummings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972842847
PECOS PAC ID: 4486888138
Enrollment ID: I20160928000310
Provider NameChristian A Wood
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235513292
PECOS PAC ID: 3779871876
Enrollment ID: I20161005000913
Provider NameIsrar A Abbasi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518925437
PECOS PAC ID: 8325143266
Enrollment ID: I20170104001398
Provider NameMonir A Chaudhry
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740334267
PECOS PAC ID: 8527144112
Enrollment ID: I20170127000608
Provider NameElizabeth Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649712878
PECOS PAC ID: 9931483997
Enrollment ID: I20170313000169
Provider NameElizabeth M Peterson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639369127
PECOS PAC ID: 1951481241
Enrollment ID: I20170518000601
Provider NameTina Daerr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871024422
PECOS PAC ID: 8729355342
Enrollment ID: I20170601001261
Provider NameMelissa Eckman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053863191
PECOS PAC ID: 6608150529
Enrollment ID: I20170710001703
Provider NameDaniel Burns
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1508810821
PECOS PAC ID: 3870570302
Enrollment ID: I20171012002245
Provider NameMichelle Olson-white
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1245744432
PECOS PAC ID: 0446519979
Enrollment ID: I20180109000920
Provider NamePhilip S Vuocolo
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770536591
PECOS PAC ID: 6507959269
Enrollment ID: I20180808001568
Provider NameShahnawaz Meer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922261080
PECOS PAC ID: 1254501059
Enrollment ID: I20190326001886
Provider NameAngela M Damore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841522505
PECOS PAC ID: 3274866504
Enrollment ID: I20190531000717
Provider NameVikas Sacher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174969927
PECOS PAC ID: 2567750763
Enrollment ID: I20190722000496
Provider NamePaul William Hixon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710340112
PECOS PAC ID: 7911289491
Enrollment ID: I20191002003465
Provider NameCrystal Elizabeth Sigmund
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1093369027
PECOS PAC ID: 3779815840
Enrollment ID: I20191023002051
Provider NameEdwina Clarke
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619360351
PECOS PAC ID: 4082983226
Enrollment ID: I20200624001332
Provider NameJennifer Thrift
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700423209
PECOS PAC ID: 1850716572
Enrollment ID: I20200729000272
Provider NameWendy G Doneyhue
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740498880
PECOS PAC ID: 1850466467
Enrollment ID: I20201021001954
Provider NameValerie Dunn
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1215964895
PECOS PAC ID: 8123047040
Enrollment ID: I20210524001291
Provider NameJennifer Kay Wilcox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134438567
PECOS PAC ID: 1355689571
Enrollment ID: I20210716000865
Provider NameYoko Young Sang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1346637386
PECOS PAC ID: 7113223108
Enrollment ID: I20211028000081
Provider NameKorina Bourquin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821749359
PECOS PAC ID: 5193117026
Enrollment ID: I20220126001070
Provider NameMegan Sue Church
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902366958
PECOS PAC ID: 2365869385
Enrollment ID: I20220914000015
Provider NameMargot Butler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013951516
PECOS PAC ID: 1153386123
Enrollment ID: I20230913004066
Provider NameEdana Tudor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962117150
PECOS PAC ID: 1254785272
Enrollment ID: I20230926000093
Provider NameMorgan Davis
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1538866462
PECOS PAC ID: 9032563747
Enrollment ID: I20230929000423

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. D/b/a Warren Medical Group 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
D/b/a Warren Medical Group
2 Crescent Park West,
Warren, PA 16365-2111

Ph: (814) 723-3300		D/b/a Warren Medical Group
2 Crescent Park W,
Warren, PA 16365-2111

Ph: (814) 723-3300

Reviews and Comments



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.