Dr Kenneth Treadwell Jr, MD - Medicare Obstetrics & Gynecology in Irvington, NJ

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Dr Kenneth Treadwell Jr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Irvington, New Jersey. His current practice location is 1387 Clinton Ave, Irvington, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 372-1441.

Dr Kenneth Treadwell Jr is licensed to practice in New Jersey (license number 25MA03828700) 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 1659347086.

Contact Information

Dr Kenneth Treadwell Jr, MD
1387 Clinton Ave,
Irvington, NJ 07111-1442
(973) 372-1441
(973) 372-6019

Map and Direction




Physician's Profile

Full NameDr Kenneth Treadwell Jr
GenderMale
SpecialityObstetrics & Gynecology
Location1387 Clinton Ave, Irvington, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659347086
  • Provider Enumeration Date: 02/25/2006
  • Last Update Date: 06/25/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0244425155
  • Enrollment ID: I20101117000235

Medical Identifiers

Medical identifiers for Dr Kenneth Treadwell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659347086NPI-NPPES
3369803MedicaidNJ
25MA03828700OtherNJSTATE LIC NR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 25MA03828700 (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 Kenneth Treadwell Jr allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Entity NameNewark Beth Israel Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033210323
PECOS PAC ID: 3173437464
Enrollment ID: O20031119000754
Entity NameNbimc Department Of Obstetrics And
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982662649
PECOS PAC ID: 6305733601
Enrollment ID: O20040302000407
Entity NameMeridian Medical Group-specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942362587
PECOS PAC ID: 6507962206
Enrollment ID: O20070425000673
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008

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 Kenneth Treadwell Jr 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 Kenneth Treadwell Jr, MD
1387 Clinton Ave,
Irvington, NJ 07111-1442

Ph: (973) 372-1441		Dr Kenneth Treadwell Jr, MD
1387 Clinton Ave,
Irvington, NJ 07111-1442

Ph: (973) 372-1441

Reviews and Comments


Obstetrics & Gynecology Doctors in Irvington, NJ

Ronald A Zevin, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 50 Union Ave, Suite 303, Irvington, NJ 07111
Phone: 973-372-8844    Fax: 973-372-6687
Dr. Jayati Mukhopadhay, M.D., F.A.C.O.G.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 60 Ball St, Irvington, NJ 07111
Phone: 973-374-8889    Fax: 973-374-1034
Dr. James Larry Kusnierz, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 855 Grove St, Irvington, NJ 07111
Phone: 973-399-8777    Fax: 973-443-0267

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.