Otolaryngology In Erie Pennsylvania

NPI list of 10 otolaryngology registered providers with a business address in Erie, PA of which 2 are registered as organizations and 8 as individuals. An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

NPI Name Type Taxonomy Address Medicare PECOS
1003070871ERIE SLEEP & WELLNESS CENTER, LLCOrganizationOtolaryngology
(Sleep Medicine)
240 W 11TH ST SUITE 301
ERIE, PA 16501
(814) 455-1500
Non-Participating ProviderNO
1104877265JACK BRYANT ANONIndividualOtolaryngology
(Otolaryngic Allergy)
1645 W 8TH ST
ERIE, PA 16505
(814) 864-9994
Accepts MedicareYES
1134170939STEPHEN EUGENE SCHELLIndividualOtolaryngology
(Facial Plastic Surgery)
1645 W 8TH ST
ERIE, PA 16505
(814) 864-9994
Accepts MedicareYES
1194754846EAR NOSE AND THROAT SPECIALISTS OF NORTHWESTERN PENNSYLVANIAOrganizationOtolaryngology1645 W 8TH ST SUITE 200
ERIE, PA 16505
(814) 864-9994
Non-Participating ProviderNO
1194776047SEAN THOMAS CARROLLIndividualOtolaryngology
(Otolaryngology/Facial Plastic Surgery)
1645 W 8TH ST #200
ERIE, PA 16505
(814) 864-9994
Accepts MedicareYES
1316998263RICK FORNELLIIndividualOtolaryngology1645 W 8TH ST #200
ERIE, PA 16505
(814) 864-9994
Accepts MedicareYES
1417313255ROBERT GUELCHERIndividualOtolaryngology521 MONTMARC BLVD
ERIE, PA 16504
(814) 825-7954
Non-Participating ProviderNO
1528019684SIDNEY PHILIP LIPMANIndividualOtolaryngology
(Otolaryngic Allergy)
1645 W 8TH ST #200
ERIE, PA 16505
(814) 864-9994
Accepts MedicareYES
1588615447KIRK WILLIAM STEEHLERIndividualOtolaryngology
(Facial Plastic Surgery)
1645 W 8TH ST
ERIE, PA 16505
(814) 864-9994
Accepts MedicareYES
1831380963RUTHANN I LIPMANIndividualOtolaryngology
(Otolaryngology/Facial Plastic Surgery)
1645 W 8TH ST #106
ERIE, PA 16505
(814) 864-9994
Accepts MedicareYES

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.