Dr Denice Marie Barnes, MD - Medicare Pediatrics in Langhorne, PA

Dr Denice Marie Barnes, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Langhorne, Pennsylvania. Her current practice location is 404 Middletown Blvd, Suite 306 Penns Square, Langhorne, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 269-3330.

Dr Denice Marie Barnes is licensed to practice in Pennsylvania (license number MD038353E) 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 1679591325.

Contact Information

Dr Denice Marie Barnes, MD
404 Middletown Blvd, Suite 306 Penns Square,
Langhorne, PA 19047-1897
(215) 269-3330
(215) 269-3355

Map and Direction




Physician's Profile

Full NameDr Denice Marie Barnes
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location404 Middletown Blvd, Langhorne, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679591325
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 06/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486068624
  • Enrollment ID: I20210128002350

Medical Identifiers

Medical identifiers for Dr Denice Marie Barnes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679591325NPI-NPPES
0011042890002MedicaidPA
1054367OtherPAKEYSTONE MERCY
233044033OtherPATAX ID
540OtherPAUSHC
BA158781OtherPABLUE SHIELD
158781OtherPAKEYSTONE HEALTH PLAN EAST
0110428903OtherPAAMERICHOICE
BUP093OtherPAOXFORD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine MD038353E (Pennsylvania)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 Denice Marie Barnes allows following entities to bill medicare on her behalf.
Entity NameWe Care Pediatrics, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831107440
PECOS PAC ID: 4688088826
Enrollment ID: O20210128002050

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 Denice Marie Barnes 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 Denice Marie Barnes, MD
404 Middletown Blvd, Suite 306 Penns Square,
Langhorne, PA 19047-1897

Ph: (215) 269-3330
Dr Denice Marie Barnes, MD
404 Middletown Blvd, Suite 306 Penns Square,
Langhorne, PA 19047-1897

Ph: (215) 269-3330

Reviews and Comments


Pediatrics Doctors in Langhorne, PA

Dr. Evan Khan, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Langhorne Newtown Rd, Langhorne, PA 19047
Phone: 215-710-2000    
Dr. Purvi Jitendra Jethva, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1201 Langhorne Newtown Rd, Langhorne, PA 19047
Phone: 215-710-2000    Fax: 215-710-5801
Dr. Bishnu Charan Borah, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 380 Middletown Blvd, Suite# 702, Langhorne, PA 19047
Phone: 215-752-9100    Fax: 215-752-4316
Dr. Prem K Marlapudi, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: St. Mary Medical Center, Dept Of Neonatology, Langhorne, PA 19047
Phone: 215-710-5990    Fax: 215-710-5801
Dr. Glenn S. Kaplan, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1201 Langhorne Newtown Rd, St. Mary's Medical Center, Langhorne, PA 19047
Phone: 215-710-2000    Fax: 215-710-5801
Dr. Allison Dawn Otto, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 404 Middletown Blvd, Suite 306 Penns Square, Langhorne, PA 19047
Phone: 215-269-3330    Fax: 215-269-3355
Marcelino A De Santos, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1205 Langhorne Newtown Rd, Suite 401 St Mary Medical Office Bldg, Langhorne, PA 19047
Phone: 215-891-8322    Fax: 215-891-8324

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.