SUSAN RACHEL MEDALIE D.O.
NPI 1710365473
Family Medicine in Pottsville, PA
About Susan Rachel Medalie D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN RACHEL MEDALIE D.O. (NPI 1710365473) is an individual family medicine provider in Pottsville, Pennsylvania, licensed in Pennsylvania (OS018728) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan Rachel Medalie D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Susan Medalie reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Myerstown, PA 17067
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Schuylkill Medical Center - South Jackson Street
Acute Care Hospitals · Pottsville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POTTSVILLE, PA 17901
POTTSVILLE, PA 17901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susan Medalie's NPI number?
The NPI number for Susan Medalie is 1710365473. It was assigned to this individual provider in the NPPES registry on May 14, 2015.
Where is Susan Medalie located?
Susan Medalie practices at 200 Schuylkill Medical Plz, Pottsville, PA 17901. The listed phone number is (570) 621-9270.
What is Susan Medalie's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Susan Medalie enrolled in Medicare?
Yes. Susan Medalie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Susan Medalie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Medalie reassigns Medicare benefits to 4 organizations: Lehigh Valley Physician Group (Pottsville, PA), Schuylkill Health System Medical Group, Inc. (Pottsville, PA), Wellspan Medical Group (Myerstown, PA) and Family Care Centers Inc (East Stroudsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Medalie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Medalie accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Susan Medalie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Susan Medalie affiliated with any hospitals?
According to CMS data, Susan Medalie is affiliated with Schuylkill Medical Center - South Jackson Street.
When was this NPI record last updated?
The NPPES record for Susan Medalie was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susan Rachel Medalie, D.O. · NPI 1710365473
Family Medicine physician in Pottsville, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 14, 2015.
## Identity
- **NPI:** 1710365473 (Entity type: Individual)
- **Enumerated:** May 14, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS018728 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 SCHUYLKILL MEDICAL PLZ, Pottsville, PA 17901-3660
- **Phone:** (570) 621-9270 · **Fax:** (570) 621-9271
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1700648193, Pottsville, PA); Schuylkill Health System Medical Group, Inc. (NPI 1063073823, Pottsville, PA); Wellspan Medical Group (NPI 1659822187, Myerstown, PA); Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2015
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710365473) · Data from the CMS NPPES public registry.