Dr Gerald Edward Pflum, MD - Medicare Otolaryngology in Neptune, NJ

Dr Gerald Edward Pflum, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Neptune, New Jersey. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1972 and has 52 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Gerald E Pflum Md Pa and his current practice location is 444 Neptune Blvd, Unit 12, Neptune, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 775-1301.

Dr Gerald Edward Pflum is licensed to practice in New Jersey (license number 25MA032941) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386603066.

Contact Information

Dr Gerald Edward Pflum, MD
444 Neptune Blvd, Unit 12,
Neptune, NJ 07753-4121
(732) 775-1301
(732) 775-0507

Map and Direction




Physician's Profile

Full NameDr Gerald Edward Pflum
GenderMale
SpecialityOtolaryngology
Experience52 Years
Location444 Neptune Blvd, Neptune, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gerald Edward Pflum attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1972
  NPI Data:
  • NPI Number: 1386603066
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 08/21/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2961561766
  • Enrollment ID: I20081107000782

Medical Identifiers

Medical identifiers for Dr Gerald Edward Pflum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386603066NPI-NPPES
0049667OtherNJAETNA
2003902MedicaidNJ
222160765077530000OtherNJTRI CARE
0094161OtherNJGHI
7802221607650OtherNJHORIZON BS
F02133OtherNJHEALTH NET OF THE NORTHEA
0441233000OtherNJAMERIHEALTH
2221607650003OtherNJCIGNA
32249OtherNJEMPIRE BS
222160765OtherNJUNITED HEALTHCARE
222160765001OtherNJQUALCARE
MS249OtherNJOXFORD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 25MA032941 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gerald E Pflum Md Pa46887334882

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 Gerald Edward Pflum allows following entities to bill medicare on his behalf.
Entity NameGerald E Pflum Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942423538
PECOS PAC ID: 4688733488
Enrollment ID: O20081107000785

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 Gerald Edward Pflum 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 Gerald Edward Pflum, MD
444 Neptune Blvd, Unit 12,
Neptune, NJ 07753-4121

Ph: (732) 775-1301
Dr Gerald Edward Pflum, MD
444 Neptune Blvd, Unit 12,
Neptune, NJ 07753-4121

Ph: (732) 775-1301

Reviews and Comments


Otolaryngology Doctors in Neptune, NJ

Dr. Samuel H Engel, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Route 33, Suite 101, Neptune, NJ 07753
Phone: 732-280-7855    Fax: 732-280-7815
Victoria M Bones, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Route 33, Suite 202, Neptune, NJ 07753
Phone: 973-769-3217    
Mary T. Mitskavich, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 3700 Route 33, Suite 101, Neptune, NJ 07753
Phone: 732-280-7855    Fax: 732-280-7815
Seth J Silberman, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Route 33, Suite 101, Neptune, NJ 07753
Phone: 732-280-7855    Fax: 732-280-7815
Sean D. Houston, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Route 33, Suite 101, Neptune, NJ 07753
Phone: 732-280-7855    Fax: 732-280-7815
Dr. Qasim Husain, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Route 33, Suite 101, Neptune, NJ 07753
Phone: 732-280-7855    

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.

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