Dr Sean Blake Herman, MD - Medicare Plastic And Reconstructive Surgery in Montclair, NJ

Dr Sean Blake Herman, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Montclair, New Jersey. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2012 and has 14 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice The Plastic Surgery Center and his current practice location is 1 Bay Ave Ste 4, Montclair, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 426-3420.

Dr Sean Blake Herman is licensed to practice in New Jersey (license number 25MA10644700) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578839874.

Contact Information

Dr Sean Blake Herman, MD
1 Bay Ave Ste 4,
Montclair, NJ 07042-4837
(732) 426-3420
Not Available

Map and Direction




Physician's Profile

Full NameDr Sean Blake Herman
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience14 Years
Location1 Bay Ave Ste 4, Montclair, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sean Blake Herman attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2012
  NPI Data:
  • NPI Number: 1578839874
  • Provider Enumeration Date: 03/30/2012
  • Last Update Date: 06/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8426303355
  • Enrollment ID: I20190916003085

Medical Identifiers

Medical identifiers for Dr Sean Blake Herman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578839874NPI-NPPES
0693286MedicaidNJ
9460273OtherNJCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 25MA10644700 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensackumc MountainsideMontclair, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Plastic Surgery Center892106048488

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 Sean Blake Herman allows following entities to bill medicare on his behalf.
Entity NameThe Plastic Surgery Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386613834
PECOS PAC ID: 8921060484
Enrollment ID: O20041028000139

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 Sean Blake Herman 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 Sean Blake Herman, MD
200 Schulz Dr Ste 2,
Red Bank, NJ 07701-6745

Ph: (732) 242-7068
Dr Sean Blake Herman, MD
1 Bay Ave Ste 4,
Montclair, NJ 07042-4837

Ph: (732) 426-3420

Reviews and Comments


Surgery Doctors in Montclair, NJ

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Phone: 973-509-1818    Fax: 973-509-0708
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Dr. Barry E Dibernardo, MD, P.C.
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Dr. Gary Chris Degrande, M.D.
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Harry T Haramis, MD
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Dr. Nirman Tulsyan, M.D.
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Nancy Lynn Elliott, MD
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Practice Location: 37 No Fullerton Avenue, Montclair Breast Center, Montclair, NJ 07042
Phone: 973-509-1818    Fax: 973-509-0708

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.