Dr Gordon M Kaplan, MD - Medicare Surgery in Edgewater, NJ

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Dr Gordon M Kaplan, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Edgewater, New Jersey. His current practice location is 1033 River Rd, Unit 1, Edgewater, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 710-7771.

Dr Gordon M Kaplan is licensed to practice in New Jersey (license number 25MA07926000) 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 1871799080.

Contact Information

Dr Gordon M Kaplan, MD
1033 River Rd, Unit 1,
Edgewater, NJ 07020-1351
(201) 710-7771
(201) 300-0119

Map and Direction




Physician's Profile

Full NameDr Gordon M Kaplan
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location1033 River Rd, Edgewater, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871799080
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 06/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345320149
  • Enrollment ID: I20080107000426

Medical Identifiers

Medical identifiers for Dr Gordon M Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871799080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 25MA07926000 (New Jersey)Primary
2086S0122XSurgery - Plastic And Reconstructive Surgery 2403491 (New York)Secondary

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 Gordon M Kaplan allows following entities to bill medicare on his behalf.
Entity NameThe Kaplan Center For Plastic & Reconstructive Surgery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932350147
PECOS PAC ID: 9234381542
Enrollment ID: O20121213000335

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 Gordon M Kaplan 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 Gordon M Kaplan, MD
1033 River Rd Ste 1,
Edgewater, NJ 07020-1351

Ph: (201) 710-7771		Dr Gordon M Kaplan, MD
1033 River Rd, Unit 1,
Edgewater, NJ 07020-1351

Ph: (201) 710-7771

Reviews and Comments


Surgery Doctors in Edgewater, NJ

Dr. Shubha Varma, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 968 River Rd, Edgewater, NJ 07020
Phone: 201-224-0757    Fax: 201-224-0759
Dr. Holly Christine Foote, D.O.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 326 Edgewater Towne Ctr, Edgewater, NJ 07020
Phone: 405-795-8291    

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.