DR. SHERYL J MENACKER M.D.
NPI 1609885078
Ophthalmology in Southampton, PA
NPI Status: Active since August 05, 2006
Contact Information
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
Phone: (215) 355-4428
Fax: (215) 355-0790
- Individual
- Female
- Ophthalmology
- Accepts Insurance
- PECOS Enrolled
About SHERYL MENACKER
This page provides the complete NPI Profile along with additional information for Sheryl Menacker, a provider established in Southampton, Pennsylvania with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1609885078 assigned on August 2006. The practitioner's primary taxonomy code is 207W00000X with license number MD030361E (PA). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1609885078
- Provider Name
- DR. SHERYL J MENACKER M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 319 2ND STREET PIKE SOUTHAMPTON, PA 18966
- Location Phone
- (215) 355-4428
- Location Fax
- (215) 355-0790
- Mailing Address
- 319 2ND STREET PIKE SOUTHAMPTON, PA 18966
- Mailing Phone
- (215) 355-4428
- Mailing Fax
- (215) 355-0790
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2006
- Last Update Date
- 03-27-2012
- Code Navigator
Ophthalmologists like Sheryl Menacker specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD030361E
- License State
- PA
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B40029 | MEDICARE UPIN (02) | PA | |
| 153182 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
Medicare Participation & PECOS Enrollment Status
Sheryl Menacker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 18966 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.17
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $34.29
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.47
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $18.61
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. SHERYL J MENACKER M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 8 | 8 | 5 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 16 | 8 | 10 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 6 + 8 + 1 + 0 + 0 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1609885078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
DR. GLEN E LOESER O.D.
Optometrist
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
DR. RICHARD L TAX M.D.
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
DR. JEFFREY A GORDON M.D.
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
DR. MONA LISA NEDJAR M.D.
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
DR. JOEL M WOLINSKY O.D.
Optometrist
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
TRI COUNTY EYE PHYSICIANS & SURGEONS PC
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
TRI COUNTY EYE PHYSICIANS
Durable Medical Equipment & Medical Supplies
319 2ND STREET PIKE
SUITE B
SOUTHAMPTON, PA
ZIP 18966
DR. RICHARD B PRINCE M.D.
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
DR. SCOTT M GOLDSTEIN M.D.
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
DR. JESSICA PRINCE WOLFISH MD
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
JOCELYN THERESA KURYAN M.D.
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
TRI COUNTY SURGERY CENTER LLC
Clinic/Center
(Ophthalmologic Surgery)
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
DR. EMILY ANGEL DECARLO M.D.
Ophthalmology
319 2ND STREET PIKE
SOUTHAMPTON, PA
ZIP 18966
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609885078, enumerated as an "individual" on August 05, 2006.
The provider is located at 319 2ND STREET PIKE SOUTHAMPTON, PA 18966 and the phone number is (215) 355-4428.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.
