Dr Heath Antoine, MD - Medicare General Surgery in Somerset, NJ

Dr Heath Antoine, MD is a medicare enrolled "Surgery" physician in Somerset, New Jersey. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Temple Faculty Practice Plan Inc and his current practice location is 81 Veronica Ave Ste 205, Somerset, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 640-5316.

Dr Heath Antoine is licensed to practice in New Jersey (license number 25MA10177100) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1265728638.

Contact Information

Dr Heath Antoine, MD
81 Veronica Ave Ste 205,
Somerset, NJ 08873-3491
(732) 640-5316
Not Available

Map and Direction




Physician's Profile

Full NameDr Heath Antoine
GenderMale
SpecialityGeneral Surgery
Experience13 Years
Location81 Veronica Ave Ste 205, Somerset, New Jersey
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Heath Antoine graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1265728638
  • Provider Enumeration Date: 06/23/2011
  • Last Update Date: 02/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698907012
  • Enrollment ID: I20220919003464

Medical Identifiers

Medical identifiers for Dr Heath Antoine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265728638NPI-NPPES
1265728638MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301099228 (Michigan)Secondary
208600000XSurgery 35129604 (Ohio)Secondary
208600000XSurgery 25MA10177100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Temple University HospitalPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Temple Faculty Practice Plan Inc03455887111063

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 Heath Antoine allows following entities to bill medicare on his behalf.
Entity NameTemple Faculty Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623

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 Heath Antoine 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 Heath Antoine, MD
81 Veronica Ave Ste 205,
Somerset, NJ 08873-3491

Ph: (732) 640-5316
Dr Heath Antoine, MD
81 Veronica Ave Ste 205,
Somerset, NJ 08873-3491

Ph: (732) 640-5316

Reviews and Comments


Surgery Doctors in Somerset, NJ

Dr. Ragui Sadek, M. D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 81 Veronica Ave Ste 205, Somerset, NJ 08873
Phone: 732-640-5316    Fax: 800-689-2361
Keith King,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 81 Veronica Ave Ste 205, Somerset, NJ 08873
Phone: 732-640-5316    Fax: 800-689-2361
Dr. Andrew M Camerota, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 49 Veronica Ave, Suite 104, Somerset, NJ 08873
Phone: 732-249-0977    Fax: 732-249-1860
Dr. Lora Marie Melman, MD
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 49 Veronica Ave, Somerset, NJ 08873
Phone: 732-640-5316    
Dr. David You, M.D., PHD
Surgery
Medicare: Medicare Enrolled
Practice Location: 81 Veronica Ave Ste 205, Somerset, NJ 08873
Phone: 732-640-5316    
Siddharth Kudav, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 81 Veronica Ave Ste 205, Somerset, NJ 08873
Phone: 732-640-5316    

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.