Valerie Gail Mclaughlin, MD - Medicare Emergency Medicine in Toms River, NJ

Valerie Gail Mclaughlin, MD is a medicare enrolled "Emergency Medicine" physician in Toms River, New Jersey. She went to Rutgers New Jersey Medical School and graduated in 2001 and has 24 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Summit Medical Group Pa and her current practice location is 970 Hooper Ave # 2, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 228-4146.

Valerie Gail Mclaughlin is licensed to practice in New Jersey (license number 25MA07701800) 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 1861448540.

Contact Information

Valerie Gail Mclaughlin, MD
970 Hooper Ave # 2,
Toms River, NJ 08753-8319
(732) 228-4146
(732) 504-7104

Map and Direction




Physician's Profile

Full NameValerie Gail Mclaughlin
GenderFemale
SpecialityEmergency Medicine
Experience24 Years
Location970 Hooper Ave # 2, Toms River, 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:
  • Valerie Gail Mclaughlin attended and graduated from Rutgers New Jersey Medical School in 2001
  NPI Data:
  • NPI Number: 1861448540
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 12/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668449463
  • Enrollment ID: I20040913000288

Medical Identifiers

Medical identifiers for Valerie Gail Mclaughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861448540NPI-NPPES
0048445MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 25MA07701800 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761147

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. Valerie Gail Mclaughlin allows following entities to bill medicare on her behalf.
Entity NameCentral Jersey Emergency Medicine Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538106257
PECOS PAC ID: 2769386812
Enrollment ID: O20031121000027
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameChambers Emergency Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053589614
PECOS PAC ID: 2860578242
Enrollment ID: O20080326000126
Entity NameSignify Health Medical Associates Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174187728
PECOS PAC ID: 4284966896
Enrollment ID: O20191031002559

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. Valerie Gail Mclaughlin 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
Valerie Gail Mclaughlin, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300
Valerie Gail Mclaughlin, MD
970 Hooper Ave # 2,
Toms River, NJ 08753-8319

Ph: (732) 228-4146

Reviews and Comments


Emergency Medicine Doctors in Toms River, NJ

Mary Rometti, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 99 Highway 37 W, Toms River, NJ 08755
Phone: 732-557-8000    
Ashley Asensio, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 99 Nj-37, Toms River, NJ 08755
Phone: 610-790-4838    
Deana B Gruenhagen, P.A.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 West Water Street, Toms River, NJ 08754
Phone: 732-244-4700    Fax: 732-244-2804
Michael Ruggiero,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 970 Hooper Ave # 2, Toms River, NJ 08753
Phone: 732-228-4146    
Dr. Mohammed M El Kharboutly, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 99 Route 37 W, Toms River, NJ 08755
Phone: 732-557-8000    
Dr. Chetna Singh, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 99 Route 37 W, Toms River, NJ 08755
Phone: 732-557-8000    
John Kraynock, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 99 Route 37 W, Toms River, NJ 08755
Phone: 732-557-8000    

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.