Dr Karen E Zemel, MD - Medicare Pediatrics in Norwell, MA

Dr Karen E Zemel, MD is a medicare enrolled "Pediatrics" physician in Norwell, Massachusetts. Her current practice location is 75 Washington St, Norwell, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 878-5200.

Dr Karen E Zemel is licensed to practice in Massachusetts (license number 159840) 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 1275524225.

Contact Information

Dr Karen E Zemel, MD
75 Washington St,
Norwell, MA 02061-1795
(781) 878-5200
(781) 681-9901

Map and Direction




Physician's Profile

Full NameDr Karen E Zemel
GenderFemale
SpecialityPediatrics
Location75 Washington St, Norwell, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275524225
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 02/10/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0648453514
  • Enrollment ID: I20110330000763

Medical Identifiers

Medical identifiers for Dr Karen E Zemel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275524225NPI-NPPES
042297845OtherMAPRIVATE HEALTHCARE SYSTEM
202071OtherMAHVD PILGRIM HEALTH CARE
B 10389703OtherMACIGNA
042297845OtherMAGREAT WEST HEALTH CARE
159840OtherMATUFTS
042297845OtherMATRICARE
B10389703OtherMADOC FIRST
159840OtherTUFTS MEDICARE PREFERRED
7254017OtherMAAETNA
042297845OtherMAGIC UNICARE
042297845OtherMAUNITED HEALTH CARE
J21528OtherMABCBS
0021229OtherMANEIGHBORHOOD HLTH PLAN
3198821MedicaidMA
51538OtherMAFALLON
042297845OtherMAHCVM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 159840 (Massachusetts)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 Karen E Zemel allows following entities to bill medicare on her behalf.
Entity NameSouth Shore Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669411856
PECOS PAC ID: 3678487444
Enrollment ID: O20040413000332

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 Karen E Zemel 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 Karen E Zemel, MD
75 Washington St,
Norwell, MA 02061-1795

Ph: (781) 878-5200
Dr Karen E Zemel, MD
75 Washington St,
Norwell, MA 02061-1795

Ph: (781) 878-5200

Reviews and Comments


Pediatrics Doctors in Norwell, MA

Sarah C Schneider, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 75 Washington St, South Shore Medical Center, Norwell, MA 02061
Phone: 781-878-5200    Fax: 781-681-9901
Dr. Richard A Kauff, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 143 Longwater Dr, Norwell, MA 02061
Phone: 781-878-5200    Fax: 781-681-9901
Dr. Matthew R Hjort, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 143 Longwater Dr, Norwell, MA 02061
Phone: 781-878-5200    
Dr. Mairead Rynn Wilson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 143 Longwater Dr, Norwell, MA 02061
Phone: 781-878-5200    Fax: 781-681-9901
Gina S. Boutwell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 143 Longwater Dr, Norwell, MA 02061
Phone: 781-878-5200    Fax: 781-878-6750
Dr. Allyson Julia Gutstein, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 143 Longwater Dr, Norwell, MA 02061
Phone: 781-878-5200    Fax: 781-878-6750

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.