Dr Ellen E Setton, MD - Medicare Pediatrics in Ocean, NJ

Dr Ellen E Setton, MD is a medicare enrolled "Pediatrics" physician in Ocean, New Jersey. Her current practice location is 804 W Park Ave, Ocean, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 531-0010.

Dr Ellen E Setton is licensed to practice in New Jersey (license number 25MA05933200) 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 1750352977.

Contact Information

Dr Ellen E Setton, MD
804 W Park Ave,
Ocean, NJ 07712-7272
(732) 531-0010
(732) 493-0903

Map and Direction




Physician's Profile

Full NameDr Ellen E Setton
GenderFemale
SpecialityPediatrics
Location804 W Park Ave, Ocean, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750352977
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092181495
  • Enrollment ID: I20221026000032

Medical Identifiers

Medical identifiers for Dr Ellen E Setton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750352977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA05933200 (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 Ellen E Setton allows following entities to bill medicare on her 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 Ellen E Setton 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 Ellen E Setton, MD
804 W Park Ave,
Ocean, NJ 07712-7272

Ph: (732) 531-0010
Dr Ellen E Setton, MD
804 W Park Ave,
Ocean, NJ 07712-7272

Ph: (732) 531-0010

Reviews and Comments


Pediatrics Doctors in Ocean, NJ

Dr. Elias Sasson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 804 W Park Ave, Ocean, NJ 07712
Phone: 732-531-0010    Fax: 732-493-0903
Fawaz Kashlan,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5 Springhouse Rd, Ocean, NJ 07712
Phone: 732-922-4763    
Dr. Hayat Kashlan Hubbi, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Sunset Ave, Ocean, NJ 07712
Phone: 732-361-2821    
Dr. Martin Daniel Fried, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Sunset Ave, Suite 100, Ocean, NJ 07712
Phone: 732-682-3425    Fax: 732-455-3309
Dr. Thomas K O'brien, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 804 W Park Ave, Ocean, NJ 07712
Phone: 732-531-0010    Fax: 732-493-0903
Dr. Jacqueline G Brunetto, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 804 W Park Ave, Ocean, NJ 07712
Phone: 732-531-0010    Fax: 732-493-0903
Dr. Alexander Jordan Schosheim, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1300 Route 35 Unit 204, Ocean, NJ 07712
Phone: 732-923-6080    Fax: 732-923-6083

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.