Jennifer Beredo, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bayonne, New Jersey. Her current practice location is
564 Broadway Ste 2a, Bayonne, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 339-8889.
Jennifer Beredo is licensed to practice in New Jersey (license number RPT40QA01057900) 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 1467536219.
Physician's Profile
| Full Name | Jennifer Beredo |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 564 Broadway Ste 2a, Bayonne, 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. |
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NPI Data:
- NPI Number: 1467536219
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7012013097
- Enrollment ID: I20070508000533
Medical Identifiers
Medical identifiers for Jennifer Beredo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467536219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | RPT40QA01057900 (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. Jennifer Beredo allows following entities to bill medicare on her behalf.
| Entity Name | Mobile Therapy Services Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1326495615
PECOS PAC ID: 6305130840
Enrollment ID: O20160808000021 |
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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. Jennifer Beredo 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 |
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Jennifer Beredo, PT
564 Broadway Ste 2a,
Bayonne, NJ 07002-3825
Ph: (201) 339-8889 | Jennifer Beredo, PT
564 Broadway Ste 2a,
Bayonne, NJ 07002-3825
Ph: (201) 339-8889 |
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