Doctor's House is a medicare enrolled "Family Medicine" provider in West New York, New Jersey. Their current practice location is
6310 Bergenline Ave, West New York, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 869-6220.
Doctor's House is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Doctor's House
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 1639332943.
Healthcare Provider's Profile
| Full Name | Doctor's House |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 6310 Bergenline Ave, West New York, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639332943
- Provider Enumeration Date: 07/07/2008
- Last Update Date: 05/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 2961561758
- Enrollment ID: O20081107000771
Medical Identifiers
Medical identifiers for Doctor's House such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639332943 | NPI | - | NPPES |
| 021032 | Other | NJ | MEDICARE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 38MC00505000 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | 40QA01198200 (New Jersey) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Doctor's House acts as a billing entity for following providers:
| Provider Name | Daniel W Maenner |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1134277619
PECOS PAC ID: 0143389932
Enrollment ID: I20081107000770 |
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| Provider Name | Daniel W Maenner |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1134277619
PECOS PAC ID: 0143389932
Enrollment ID: I20190717003282 |
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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. Doctor's House 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 Address | Practice Location Address |
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Doctor's House
6310 Bergenline Ave,
West New York, NJ 07093-1620
Ph: (201) 869-6220 | Doctor's House
6310 Bergenline Ave,
West New York, NJ 07093-1620
Ph: (201) 869-6220 |
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