Dr Susan Ann Rufolo, APN FNP-BC CEN - Medicare Nurse Practitioner in Toms River, NJ

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Dr Susan Ann Rufolo, APN FNP-BC CEN is a medicare enrolled "Nurse Practitioner - Family" in Toms River, New Jersey. Her current practice location is 114 Hooper Ave, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 929-2043.

Dr Susan Ann Rufolo is licensed to practice in New Jersey (license number 26NJ01138600) 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 1124608153.

Contact Information

Dr Susan Ann Rufolo, APN FNP-BC CEN
114 Hooper Ave,
Toms River, NJ 08753-7606
(732) 929-2043
Not Available

Map and Direction




Provider's Profile

Full NameDr Susan Ann Rufolo
GenderFemale
SpecialityNurse Practitioner - Family
Location114 Hooper Ave, Toms River, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124608153
  • Provider Enumeration Date: 04/13/2021
  • Last Update Date: 04/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648674903
  • Enrollment ID: I20210809001364

Medical Identifiers

Medical identifiers for Dr Susan Ann Rufolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124608153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01138600 (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. Dr Susan Ann Rufolo allows following entities to bill medicare on her behalf.
Entity NameCpc Behavioral Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366497356
PECOS PAC ID: 3971593161
Enrollment ID: O20040518000822
Entity NameDrx Paramus, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316272685
PECOS PAC ID: 2466589585
Enrollment ID: O20100422000051
Entity NameHunterdon Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023395316
PECOS PAC ID: 9830009711
Enrollment ID: O20120214000288
Entity NameExcel Urgent Care Of Nj
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255742243
PECOS PAC ID: 9638396849
Enrollment ID: O20140812002211
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008
Entity NameRwjbh Emergency Medicine Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912510041
PECOS PAC ID: 0941612840
Enrollment ID: O20201217002547

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 Susan Ann Rufolo 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 Susan Ann Rufolo, APN FNP-BC CEN
114 Hooper Ave,
Toms River, NJ 08753-7606

Ph: (732) 929-2043		Dr Susan Ann Rufolo, APN FNP-BC CEN
114 Hooper Ave,
Toms River, NJ 08753-7606

Ph: (732) 929-2043

Reviews and Comments


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Grant Marshall Myers, PMHNP-BC
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Phone: 732-719-7788    

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.