Dr Andrew Philip Gilmartin, MD - Medicare Internal Medicine in Annandale, NJ

Dr Andrew Philip Gilmartin, MD is a medicare enrolled "Internal Medicine" physician in Annandale, New Jersey. He graduated from medical school in 2008 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Changebridge Medical Associates Pa, Vanguard Medical Group Pa and his current practice location is 4 Wild Azalea Ct, Annandale, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 947-8744.

Dr Andrew Philip Gilmartin is licensed to practice in New Jersey (license number N/A) 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 1205119807.

Contact Information

4 Wild Azalea Ct
NJ 08801-4001
(908) 947-8744
Not Available

Map and Direction

Physician's Profile

Full NameDr Andrew Philip Gilmartin
SpecialityInternal Medicine
Experience11 Years
LocationAnnandale, 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 Andrew Philip Gilmartin graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1205119807
  • Provider Enumeration Date: 09/21/2011
  • Last Update Date: 09/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2163671900
  • Enrollment ID: I20121011000144

Medical Identifiers

Medical identifiers for Dr Andrew Philip Gilmartin such as npi, medicare ID, medicare PIN, medicaid, etc.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine N/A (New Jersey)Primary

Hospital Affiliation

Hospital NameLocationType
Saint Clare's Hospital/ Denville CampusDenville, NJAcute Care Hospital
Chilton Medical CenterPompton plains, NJAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Changebridge Medical Associates Pa63059996084
Vanguard Medical Group Pa509275184229

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 Andrew Philip Gilmartin allows following entities to bill medicare on his behalf.
Entity NameVanguard Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073674412
PECOS PAC ID: 5092751842
Enrollment ID: O20050701000022
Entity NameChangebridge Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942424783
PECOS PAC ID: 6305999608
Enrollment ID: O20090902000669
Entity NamePrime Healthcare Services - Saint Clare's, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497134274
PECOS PAC ID: 6406165372
Enrollment ID: O20151103001886

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 Andrew Philip Gilmartin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) Yes
Used Electronic Health Record (EHR) Yes
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Andrew Philip Gilmartin, MD
61 Beaverbrook Rd
Ste 301
Lincoln Park
NJ 07035-1750

Ph: (973) 559-3700
Dr Andrew Philip Gilmartin, MD
4 Wild Azalea Ct
NJ 08801-4001

Ph: (908) 947-8744

Reviews and Comments

Internal Medicine Doctors in Annandale, NJ

Dr. Bharatkumar R Patel, M.D
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 31 Petticoat Ln, Annandale, NJ 08801
Phone: 908-638-6191    Fax: 908-638-4914
Andrey Espinoza, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1465 State Route 31 S, Ste 1, Annandale, NJ 08801
Phone: 908-237-9092    Fax: 908-237-9095

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.