Dr Paul William Sirna, MD - Medicare Pediatrics in Verona, NJ

Dr Paul William Sirna, MD is a medicare enrolled "Pediatrics" physician in Verona, New Jersey. His current practice location is 36 Park Ave, Verona, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 239-7001.

Dr Paul William Sirna is licensed to practice in New Jersey (license number MA069271) 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 1548220387.

Contact Information

Dr Paul William Sirna, MD
36 Park Ave,
Verona, NJ 07044-2440
(973) 239-7001
(973) 239-8867

Map and Direction




Physician's Profile

Full NameDr Paul William Sirna
GenderMale
SpecialityPediatrics
Location36 Park Ave, Verona, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548220387
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 07/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072738947
  • Enrollment ID: I20140709000764

Medical Identifiers

Medical identifiers for Dr Paul William Sirna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548220387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MA069271 (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 Paul William Sirna allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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 Paul William Sirna 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 Paul William Sirna, MD
36 Park Ave,
Verona, NJ 07044-2440

Ph: (973) 239-7001
Dr Paul William Sirna, MD
36 Park Ave,
Verona, NJ 07044-2440

Ph: (973) 239-7001

Reviews and Comments


Pediatrics Doctors in Verona, NJ

Dr. Richard Harris Flyer, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 36 Park Ave, Verona, NJ 07044
Phone: 973-239-7001    Fax: 973-239-8867
Dr. Bettie Frank-shrensel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 799 Bloomfield Ave Ste 304, Verona, NJ 07044
Phone: 973-618-9990    Fax: 973-618-9991
Ragheda Saba, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 799 Bloomfield Ave, Verona, NJ 07044
Phone: 973-971-5595    
Dr. Jeannette Rose Gonzalez Simon, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 19 Hathaway Ln, Verona, NJ 07044
Phone: 917-294-4620    
Dr. Rizwana Tahir Khokhar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 36 Park Ave, Verona, NJ 07044
Phone: 973-239-7001    Fax: 973-239-8867
Dr. Mark Edward Weinstein, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 197 Bloomfield Ave, Verona, NJ 07044
Phone: 973-857-0330    

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).

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