Daniela Frankova, MD - Medicare Hospitalist in Toms River, NJ

Daniela Frankova, MD is a medicare enrolled "Internal Medicine" physician in Toms River, New Jersey. She graduated from medical school in 1997 and has 29 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Primary Health Care Inc and her current practice location is 67 Route 37 W, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 557-2831.

Daniela Frankova is licensed to practice in New Jersey (license number 25IA12751000) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235376328.

Contact Information

Daniela Frankova, MD
67 Route 37 W,
Toms River, NJ 08755-6400
(732) 557-2831
Not Available

Map and Direction




Physician's Profile

Full NameDaniela Frankova
GenderFemale
SpecialityHospitalist
Experience29 Years
Location67 Route 37 W, Toms River, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daniela Frankova graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1235376328
  • Provider Enumeration Date: 01/12/2009
  • Last Update Date: 03/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3971659103
  • Enrollment ID: I20090914000224

Medical Identifiers

Medical identifiers for Daniela Frankova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235376328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD-38382 (Iowa)Secondary
207R00000XInternal Medicine 25IA12751000 (New Jersey)Primary
207R00000XInternal Medicine 38382 (Iowa)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercyone Des Moines Medical CenterDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Primary Health Care Inc842696675567

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. Daniela Frankova allows following entities to bill medicare on her behalf.
Entity NamePrimary Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588692487
PECOS PAC ID: 8426966755
Enrollment ID: O20031106000487
Entity NameMercy Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457691941
PECOS PAC ID: 7911810882
Enrollment ID: O20031112000238

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. Daniela Frankova 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
Daniela Frankova, MD
67 Route 37 W,
Toms River, NJ 08755-6400

Ph: () -
Daniela Frankova, MD
67 Route 37 W,
Toms River, NJ 08755-6400

Ph: (732) 557-2831

Reviews and Comments


Internal Medicine Doctors in Toms River, NJ

Dr. Vanie S Ramachandra Rao, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Hospital Dr, Toms River, NJ 08755
Phone: 732-244-3100    
Dr. Gregory J Cuozzo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 Commons Way, Toms River, NJ 08755
Phone: 732-349-4434    Fax: 732-349-9290
Dr. Prabhat Kumar Sinha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hospital Dr, Ste 3, Toms River, NJ 08755
Phone: 732-341-9900    Fax: 732-341-9968
Dr. Satish K Bhutani, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1416 Hooper Ave, Toms River, NJ 08753
Phone: 848-223-7120    Fax: 732-349-6919
Dr. Joseph Anthony Decorso Jr., MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 20 Montreal Ct, Toms River, NJ 08757
Phone: 973-699-1830    
Dr. Murat Karatepe, MD FACC
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25 Mule Rd, Suite B2, Toms River, NJ 08755
Phone: 732-505-9005    Fax: 732-505-9919
Sizan B Patel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9 Hospital Dr Ste B1, Toms River, NJ 08755
Phone: 732-363-7200    Fax: 866-662-4129

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.