Kara Rafael, - Medicare Nurse Practitioner in Toms River, NJ

Kara Rafael, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Toms River, New Jersey. Her current practice location is 1691 Lakewood Rd, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 914-3875.

Kara Rafael is licensed to practice in New Jersey (license number 26NJ01358800) 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 1457070716.

Contact Information

Kara Rafael,
1691 Lakewood Rd,
Toms River, NJ 08755-1245
(732) 914-3875
Not Available

Map and Direction




Provider's Profile

Full NameKara Rafael
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1691 Lakewood Rd, 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: 1457070716
  • Provider Enumeration Date: 08/22/2022
  • Last Update Date: 08/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729457551
  • Enrollment ID: I20221216001534

Medical Identifiers

Medical identifiers for Kara Rafael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457070716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 26NR19598400 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01358800 (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. Kara Rafael allows following entities to bill medicare on her behalf.
Entity NameLakewood Resource And Referral Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083748297
PECOS PAC ID: 6901981497
Enrollment ID: O20080307000331
Entity NameModern Psychiatry Nj Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093419475
PECOS PAC ID: 2961865464
Enrollment ID: O20230831001057

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. Kara Rafael 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
Kara Rafael,
3 Crestview Ct,
Farmingdale, NJ 07727-3847

Ph: (732) 640-3303
Kara Rafael,
1691 Lakewood Rd,
Toms River, NJ 08755-1245

Ph: (732) 914-3875

Reviews and Comments


Nurse Practitioner Nurses in Toms River, NJ

Eleanor C Dominguez-curatolo, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Water St, Toms River, NJ 08753
Phone: 732-731-6218    Fax: 732-244-8482
Grant Marshall Myers, PMHNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 509 Main Street, Bldg A, 2nd Floor, Suite B, Toms River, NJ 08753
Phone: 732-301-6904    Fax: 732-605-5771
Jennifer Manzo, APN
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Medicare: Medicare Enrolled
Practice Location: 94 Stevens Rd, Children's Specialized Hospital, Toms River, NJ 08755
Phone: 732-797-3801    Fax: 732-797-3812
Mrs. Lalaine Genuino, APN
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Medicare: Accepting Medicare Assignments
Practice Location: 803 Main St, Toms River, NJ 08753
Phone: 732-557-0100    Fax: 732-557-0128
Sarah B Schwartz, APN
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Medicare: Medicare Enrolled
Practice Location: 99 Route 37 W, Toms River, NJ 08755
Phone: 732-557-8283    
Andrea D Lynn, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Stockton Dr, Toms River, NJ 08755
Phone: 732-363-6655    
Kelly St. Marie, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2360 Lakewood Rd, Toms River, NJ 08755
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).

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