Siara Nicole Kolpon, PHYSICIAN ASSITANT - Medicare Physician Assistant in East Rutherford, NJ

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Siara Nicole Kolpon, PHYSICIAN ASSITANT is a medicare enrolled "Physician Assistant" in East Rutherford, New Jersey. Her current practice location is 196 Paterson Ave Ste 302, East Rutherford, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 500-9450.

Siara Nicole Kolpon is licensed to practice in * (Not Available) (license number ) 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 1730669243.

Contact Information

Siara Nicole Kolpon, PHYSICIAN ASSITANT
196 Paterson Ave Ste 302,
East Rutherford, NJ 07073-1841
(201) 500-9450
(201) 500-9451

Map and Direction




Provider's Profile

Full NameSiara Nicole Kolpon
GenderFemale
SpecialityPhysician Assistant
Location196 Paterson Ave Ste 302, East Rutherford, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730669243
  • Provider Enumeration Date: 08/15/2018
  • Last Update Date: 07/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315372570
  • Enrollment ID: I20200115002765

Medical Identifiers

Medical identifiers for Siara Nicole Kolpon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730669243NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))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. Siara Nicole Kolpon allows following entities to bill medicare on her behalf.
Entity NameSmgh Physician Practice Management LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033578075
PECOS PAC ID: 6406141480
Enrollment ID: O20160830001733
Entity NameCity Orthopaedics & Sports Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245725191
PECOS PAC ID: 9931531084
Enrollment ID: O20191112001606
Entity NameSt Marys General Medical Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477261741
PECOS PAC ID: 5496112476
Enrollment ID: O20230607000110

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. Siara Nicole Kolpon 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
Siara Nicole Kolpon, PHYSICIAN ASSITANT
196 Paterson Ave Ste 302,
East Rutherford, NJ 07073-1841

Ph: (201) 500-9450		Siara Nicole Kolpon, PHYSICIAN ASSITANT
196 Paterson Ave Ste 302,
East Rutherford, NJ 07073-1841

Ph: (201) 500-9450

Reviews and Comments


Physician Assistant Nurses in East Rutherford, NJ

Catherine Elias,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 196 Paterson Ave Ste 302, East Rutherford, NJ 07073
Phone: 201-500-9450    Fax: 201-500-9451
Antonio F Kamel, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 196 Paterson Ave Ste 302, East Rutherford, NJ 07073
Phone: 201-500-9450    Fax: 201-500-9451

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.