Internal Medicine In New Castle Delaware

NPI list of 4 internal medicine registered providers with a business address in New Castle, DE, all registered as individuals. A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

NPI Name Type Taxonomy Address Medicare PECOS
1427130640HIGINIO LOPEZIndividualInternal Medicine1901 N DUPONT HWY
NEW CASTLE, DE 19720
(302) 255-2935
Accepts MedicareYES
1518003482MILAGROS NUNAGIndividualInternal Medicine1901 N DUPONT HWY
NEW CASTLE, DE 19720
(302) 255-9723
Non-Participating ProviderNO
1164647384TERRI STEINBERGIndividualInternal Medicine1 READS WAY SUITE 200
NEW CASTLE, DE 19720
(302) 327-3959
Non-Participating ProviderNO
1831398452BADRISH JAYANTI PATELIndividualInternal Medicine
(Pulmonary Disease)
2 PENNS WAY SUITE 407
NEW CASTLE, DE 19720
(302) 613-5080
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.