Mr Michael D'ercole Jr, is a medicare enrolled "Physician Assistant" in Closter, New Jersey. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Nyack Emergency Medical Association Pllc and his current practice location is
140 Herbert Ave # 2, Closter, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 540-6315.
Mr Michael D'ercole Jr is licensed to practice in New York (license number 034846-01) 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 1871444307.
Provider's Profile
| Full Name | Mr Michael D'ercole Jr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 140 Herbert Ave # 2, Closter, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael D'ercole Jr graduated from nursing school in 2025
NPI Data:
- NPI Number: 1871444307
- Provider Enumeration Date: 02/09/2026
- Last Update Date: 02/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638648215
- Enrollment ID: I20260513000150
Medical Identifiers
Medical identifiers for Mr Michael D'ercole Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871444307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 25MP00975100 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 034846-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nyack Emergency Medical Association Pllc | 2062411036 | 59 |
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. Mr Michael D'ercole Jr allows following entities to bill medicare on his behalf.
| Entity Name | Nyack Emergency Medical Association PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174627293
PECOS PAC ID: 2062411036
Enrollment ID: O20061221000029 |
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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. Mr Michael D'ercole Jr 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 Address | Practice Location Address |
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Mr Michael D'ercole Jr,
140 Hertbert Ave #2,
Closter, NJ 07624
Ph: (201) 540-6315 | Mr Michael D'ercole Jr,
140 Herbert Ave # 2,
Closter, NJ 07624-1300
Ph: (201) 540-6315 |
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