Kevin John, - Medicare Physician Assistant in Dover, NJ

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Kevin John, is a medicare enrolled "Physician Assistant - Medical" in Dover, New Jersey. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ccmma Nj Llc, Practice Associates Medical Group and his current practice location is 400 W Blackwell St, Dover, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 779-4473.

Kevin John is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063266138.

Contact Information

Kevin John,
400 W Blackwell St,
Dover, NJ 07801-2525
(201) 779-4473
Not Available

Map and Direction




Provider's Profile

Full NameKevin John
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location400 W Blackwell St, Dover, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin John graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1063266138
  • Provider Enumeration Date: 04/15/2024
  • Last Update Date: 04/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850830670
  • Enrollment ID: I20240826000122

Medical Identifiers

Medical identifiers for Kevin John such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063266138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Clare's HospitalDenville, NJHospital
Chilton Medical CenterPompton plains, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ccmma Nj Llc812339249531
Practice Associates Medical Group58907031771412

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. Kevin John allows following entities to bill medicare on his behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690
Entity NameCcmma NJ LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124543095
PECOS PAC ID: 8123392495
Enrollment ID: O20170926000361

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. Kevin John 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
Kevin John,
155 3rd St,
Bergenfield, NJ 07621-1439

Ph: (201) 779-4473		Kevin John,
400 W Blackwell St,
Dover, NJ 07801-2525

Ph: (201) 779-4473

Reviews and Comments


Physician Assistant Nurses in Dover, NJ

Philip Goncalves, PA-C
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Vito Fernando Zuna, PA-C
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Phone: 973-328-3344    
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Practice Location: 400 W Blackwell St, Dover, NJ 07801
Phone: 973-989-3000    

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.