Kevin Suttles, - Medicare Nurse Practitioner in Passaic, NJ

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Kevin Suttles, is a medicare enrolled "Nurse Practitioner - Family" in Passaic, New Jersey. His current practice location is 293 Passaic St, Passaic, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 916-0002.

Kevin Suttles is licensed to practice in New Jersey (license number 26NJ01343800) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164143400.

Contact Information

Kevin Suttles,
293 Passaic St,
Passaic, NJ 07055-5803
(973) 916-0002
(973) 371-2543

Map and Direction




Provider's Profile

Full NameKevin Suttles
GenderMale
SpecialityNurse Practitioner - Family
Location293 Passaic St, Passaic, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164143400
  • Provider Enumeration Date: 09/06/2022
  • Last Update Date: 09/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133505761
  • Enrollment ID: I20221004003296

Medical Identifiers

Medical identifiers for Kevin Suttles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164143400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01343800 (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. Kevin Suttles allows following entities to bill medicare on his behalf.
Entity NameShah Anuj Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215445127
PECOS PAC ID: 5395006902
Enrollment ID: O20180222001242

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 Suttles 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 Suttles,
293 Passaic St,
Passaic, NJ 07055-5803

Ph: (973) 916-0002		Kevin Suttles,
293 Passaic St,
Passaic, NJ 07055-5803

Ph: (973) 916-0002

Reviews and Comments


Nurse Practitioner Nurses in Passaic, NJ

Esther Noble, FNP-C
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Phone: 973-437-3333    
Dr. Marie Ann Addesa, APN, D.C.
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Medicare: Not Enrolled in Medicare
Practice Location: 647 Main Ave Ste 202, Passaic, NJ 07055
Phone: 973-778-2300    
Cesar Valentin I,
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Medicare: Not Enrolled in Medicare
Practice Location: 913 Main Avenue, Passaic, NJ 07055
Phone: 973-458-8000    Fax: 973-458-8425
Mounir Bachiri, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 140 Passaic Ave, Passaic, NJ 07055
Phone: 973-777-8900    
Dexter Mata Caldona,
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Medicare: Accepting Medicare Assignments
Practice Location: 39 Aycrigg Ave, Passaic, NJ 07055
Phone: 973-981-0476    
Henrieta Riccobono, DNP
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Medicare: Medicare Enrolled
Practice Location: 350 Boulevard, Passaic, NJ 07055
Phone: 973-365-4387    

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.