Mrs Teresa M Conklin, FNP - Medicare Nurse Practitioner in South Orange, NJ

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Mrs Teresa M Conklin, FNP is a medicare enrolled "Nurse Practitioner - Family" in South Orange, New Jersey. Her current practice location is 400 S Orange Ave, South Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 761-9175.

Mrs Teresa M Conklin is licensed to practice in New Jersey (license number 26NO09584600) 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 1275769176.

Contact Information

Mrs Teresa M Conklin, FNP
400 S Orange Ave,
South Orange, NJ 07079-2646
(973) 761-9175
Not Available

Map and Direction




Provider's Profile

Full NameMrs Teresa M Conklin
GenderFemale
SpecialityNurse Practitioner - Family
Location400 S Orange Ave, South Orange, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275769176
  • Provider Enumeration Date: 06/05/2009
  • Last Update Date: 07/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1153686662
  • Enrollment ID: I20180605000829

Medical Identifiers

Medical identifiers for Mrs Teresa M Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275769176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NO09584600 (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. Mrs Teresa M Conklin allows following entities to bill medicare on her behalf.
Entity NameManish Saini Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699960674
PECOS PAC ID: 7810906278
Enrollment ID: O20060412000332
Entity NameSomdocs
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508390832
PECOS PAC ID: 8123381811
Enrollment ID: O20180411000336
Entity NameGarden State Internists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790448850
PECOS PAC ID: 6709265051
Enrollment ID: O20220617000058
Entity NameEast Coast Medical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326699596
PECOS PAC ID: 0941682942
Enrollment ID: O20220808003161

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. Mrs Teresa M Conklin 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
Mrs Teresa M Conklin, FNP
18 W Blackwell St,
Dover, NJ 07801-3841

Ph: () -		Mrs Teresa M Conklin, FNP
400 S Orange Ave,
South Orange, NJ 07079-2646

Ph: (973) 761-9175

Reviews and Comments


Nurse Practitioner Nurses in South Orange, NJ

Oneka Edwards, APN
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Practice Location: 20 Valley St Ste 320, South Orange, NJ 07079
Phone: 973-313-1113    
Samantha R Minott,
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Practice Location: 20 Valley St Ste 320, South Orange, NJ 07079
Phone: 973-313-1113    
Mr. Daniel Robert Fawcett, NP STUDENT
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 400 S Orange Ave, South Orange, NJ 07079
Phone: 973-761-9000    
Jessica Elise Peccerelli,
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Medicare: Not Enrolled in Medicare
Practice Location: 400 S Orange Ave, South Orange, NJ 07079
Phone: 973-761-9000    
Ms. Natasha N Ashton, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 418 Academy St, South Orange, NJ 07079
Phone: 201-259-1470    Fax: 973-761-7012
Kemoy Fong,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 707 S Orange Ave, South Orange, NJ 07079
Phone: 973-761-6111    Fax: 973-761-6111

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.