Dr Arathi Setty, MD, MPH - Medicare Internal Medicine in Summit, NJ

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Dr Arathi Setty, MD, MPH is a medicare enrolled "Internal Medicine - Rheumatology" physician in Summit, New Jersey. Her current practice location is 33 Overlook Rd Ste L01, Summit, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 598-7940.

Dr Arathi Setty is licensed to practice in New Jersey (license number 25MA08820900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528035938.

Contact Information

Dr Arathi Setty, MD, MPH
33 Overlook Rd Ste L01,
Summit, NJ 07901-3561
(908) 598-7940
Not Available

Map and Direction




Physician's Profile

Full NameDr Arathi Setty
GenderFemale
SpecialityInternal Medicine - Rheumatology
Location33 Overlook Rd Ste L01, Summit, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528035938
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 12/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6406856434
  • Enrollment ID: I20190403000637

Medical Identifiers

Medical identifiers for Dr Arathi Setty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528035938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 220030 (Massachusetts)Secondary
207RR0500XInternal Medicine - Rheumatology 220030 (Massachusetts)Secondary
207RR0500XInternal Medicine - Rheumatology 25MA08820900 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Arathi Setty allows following entities to bill medicare on her behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690

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. Dr Arathi Setty 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 AddressPractice Location Address
Dr Arathi Setty, MD, MPH
33 Overlook Rd Ste L01,
Summit, NJ 07901-3561

Ph: (908) 598-7940		Dr Arathi Setty, MD, MPH
33 Overlook Rd Ste L01,
Summit, NJ 07901-3561

Ph: (908) 598-7940

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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