Gidon Coussin, PA-C is a medicare enrolled "Physician Assistant" physician in Livingston, New Jersey. His current practice location is
94 Old Short Hills Rd, Livingston, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 322-5000.
Gidon Coussin is licensed to practice in New Jersey (license number 25MP00525000) 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 1700446895.
Physician's Profile
| Full Name | Gidon Coussin |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 94 Old Short Hills Rd, Livingston, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700446895
- Provider Enumeration Date: 06/19/2019
- Last Update Date: 05/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 9436484151
- Enrollment ID: I20190717001053
Medical Identifiers
Medical identifiers for Gidon Coussin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700446895 | NPI | - | NPPES |
| 25MP00525000 | Other | NJ | NJ PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 25MP00525000 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 25MP00525000 (New Jersey) | Primary |
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. Gidon Coussin 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 Address | Practice Location Address |
Gidon Coussin, PA-C 66 Browning Rd, Short Hills, NJ 07078-1142 Ph: (917) 478-3951 | Gidon Coussin, PA-C 94 Old Short Hills Rd, Livingston, NJ 07039-5672 Ph: (973) 322-5000 |
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