Dr Emmet Theodore Fenichel, MD - Medicare Family Practice in Middletown, NJ

Dr Emmet Theodore Fenichel, MD is a medicare enrolled "Family Medicine" physician in Middletown, New Jersey. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hackensack Meridian Health Medical Group - Primary Care Pc and his current practice location is 18 Leonardville Rd, Middletown, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 671-0860.

Dr Emmet Theodore Fenichel is licensed to practice in New Jersey (license number 25MA10649000) 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 1952832164.

Contact Information

Dr Emmet Theodore Fenichel, MD
18 Leonardville Rd,
Middletown, NJ 07748-2311
(732) 671-0860
Not Available

Map and Direction




Physician's Profile

Full NameDr Emmet Theodore Fenichel
GenderMale
SpecialityFamily Practice
Experience8 Years
Location18 Leonardville Rd, Middletown, 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 Emmet Theodore Fenichel graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1952832164
  • Provider Enumeration Date: 03/21/2017
  • Last Update Date: 07/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9830448620
  • Enrollment ID: I20200917000287

Medical Identifiers

Medical identifiers for Dr Emmet Theodore Fenichel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952832164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA10649000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack Meridian Health At Home Ocean CountyBrick, NJHome health agency
Ocean Medical CenterBrick, NJHospital
Jersey Shore University Medical CenterNeptune, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Health Medical Group - Primary Care Pc7911003330273

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 Emmet Theodore Fenichel allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Primary Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336203538
PECOS PAC ID: 7911003330
Enrollment ID: O20070502000000

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 Emmet Theodore Fenichel 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 Emmet Theodore Fenichel, MD
18 Leonardville Rd,
Middletown, NJ 07748-2311

Ph: (732) 671-0860
Dr Emmet Theodore Fenichel, MD
18 Leonardville Rd,
Middletown, NJ 07748-2311

Ph: (732) 671-0860

Reviews and Comments


Family Medicine Doctors in Middletown, NJ

Dr. Colin Scott, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 18 Leonardville Rd, Middletown, NJ 07748
Phone: 732-671-0860    Fax: 732-671-6467
David Bruce Dornfeld, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1680 Hwy 35, Middletown, NJ 07748
Phone: 732-671-3730    Fax: 732-706-1078
Roger Mclachlan Thompson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18 Leonardville Rd, Middletown, NJ 07748
Phone: 732-671-0860    Fax: 732-671-6467
Shanda Monique Mcmanus, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18 Leonardville Rd, Middletown, NJ 07748
Phone: 732-671-0860    
Julia B Ritsan, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1270 Highway 35, Middletown, NJ 07748
Phone: 732-615-3900    Fax: 732-615-0185
Frances Sjovall, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8 Tindall Rd, Suite 3a, Middletown, NJ 07748
Phone: 732-671-0093    Fax: 732-671-0226

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.