Dr Eduardo Sembrano, MD - Medicare Pediatrics in Long Branch, NJ

Dr Eduardo Sembrano, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Long Branch, New Jersey. His current practice location is 279 3rd Ave, Suite 604, Long Branch, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 222-4474.

Dr Eduardo Sembrano is licensed to practice in New Jersey (license number 25MA08145100) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326017567.

Contact Information

Dr Eduardo Sembrano, MD
279 3rd Ave, Suite 604,
Long Branch, NJ 07740-6211
(732) 222-4474
(732) 222-4472

Map and Direction




Physician's Profile

Full NameDr Eduardo Sembrano
GenderMale
SpecialityPediatrics - Pediatric Pulmonology
Location279 3rd Ave, Long Branch, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326017567
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 02/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8820096068
  • Enrollment ID: I20061122000044

Medical Identifiers

Medical identifiers for Dr Eduardo Sembrano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326017567NPI-NPPES
7446209MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0214XPediatrics - Pediatric Pulmonology 25MA08145100 (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. Dr Eduardo Sembrano allows following entities to bill medicare on his behalf.
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951

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 Eduardo Sembrano 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 Eduardo Sembrano, MD
Po Box 8000, Dept 596,
Buffalo, NY 14267-0002

Ph: (866) 295-0041
Dr Eduardo Sembrano, MD
279 3rd Ave, Suite 604,
Long Branch, NJ 07740-6211

Ph: (732) 222-4474

Reviews and Comments


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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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