Dr Marla Hidalgo, - Medicare Psychiatry in Berkeley Heights, NJ

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Dr Marla Hidalgo, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Berkeley Heights, New Jersey. She went to Touro Un College Of Osteopathic Medicine, Vallejo and graduated in 2013 and has 11 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Summit Medical Group Pa, Westchester Medical Group Pc and her current practice location is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 508-8909.

Dr Marla Hidalgo is licensed to practice in New Jersey (license number 25MB10427300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164866547.

Contact Information

Dr Marla Hidalgo,
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
(908) 508-8909
Not Available

Map and Direction




Physician's Profile

Full NameDr Marla Hidalgo
GenderFemale
SpecialityPsychiatry
Experience11 Years
Location1 Diamond Hill Rd, Berkeley Heights, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Marla Hidalgo attended and graduated from Touro Un College Of Osteopathic Medicine, Vallejo in 2013
  NPI Data:
  • NPI Number: 1164866547
  • Provider Enumeration Date: 04/29/2013
  • Last Update Date: 06/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143580415
  • Enrollment ID: I20190802001285

Medical Identifiers

Medical identifiers for Dr Marla Hidalgo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164866547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 286909 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 25MB10427300 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253
Westchester Medical Group Pc6406752963405

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 Marla Hidalgo allows following entities to bill medicare on her 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 Marla Hidalgo 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 Marla Hidalgo,
800 Westchester Ave Ste N715,
Rye Brook, NY 10573-1369

Ph: (914) 607-5730		Dr Marla Hidalgo,
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 508-8909

Reviews and Comments


Psychiatry & Neurology Doctors in Berkeley Heights, NJ

Komal D Naik, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-790-6524
Dr. Eric R. Cohen, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-790-6524
Dr. Lisa M Coohill, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-277-8767
Dr. Nancy T. Block, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 87 Cromwell Ct, Berkeley Heights, NJ 07922
Phone: 908-464-2174    Fax: 908-464-4353
Mrs. Anita Khanna Mehta, D.O
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-277-8639    
Dr. Garth Matthias Turner, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Wittmann Pavilion, 2nd Floor, Berkeley Heights, NJ 07922
Phone: 908-277-8639    

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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