Angela Jiang, is a medicare enrolled "Dermatology" physician in Montclair, New Jersey. Her current practice location is
1 Seymour St, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 302-9585.
Angela Jiang is licensed to practice in New Jersey (license number 25MA11492400) 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 1780116301.
Physician's Profile
| Full Name | Angela Jiang |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 1 Seymour St, Montclair, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780116301
- Provider Enumeration Date: 04/02/2017
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133503089
- Enrollment ID: I20220826001574
Medical Identifiers
Medical identifiers for Angela Jiang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780116301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 317185 (New York) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 25MA11492400 (New Jersey) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 317185 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | 25MA11492400 (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. Angela Jiang allows following entities to bill medicare on her behalf.
| Entity Name | Westchester Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881653822
PECOS PAC ID: 6406752963
Enrollment ID: O20031208000533 |
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| Entity Name | City Medical Of Upper East Side Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052 |
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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. Angela Jiang 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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Angela Jiang,
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
Ph: () - | Angela Jiang,
1 Seymour St,
Montclair, NJ 07042-3771
Ph: (973) 302-9585 |
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