Roselle Podiatry Group, Pa is a medicare enrolled "Podiatrist - Foot Surgery" provider in Roselle, New Jersey. Their current practice location is
776 E 3rd Ave, Roselle, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(908) 620-3200.
Roselle Podiatry Group, Pa is licensed to practice in New Jersey (license number MD002426) and it also participates in the medicare program. Roselle Podiatry Group, Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003139031.
Healthcare Provider's Profile
Full Name | Roselle Podiatry Group, Pa |
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Type | Facility |
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Speciality | Podiatrist - Foot Surgery |
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Location | 776 E 3rd Ave, Roselle, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003139031
- Provider Enumeration Date: 03/04/2010
- Last Update Date: 10/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 7416082292
- Enrollment ID: O20100318000383
Medical Identifiers
Medical identifiers for Roselle Podiatry Group, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003139031 | NPI | - | NPPES |
4702770001 | Other | NJ | MEDICARE DME |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0131X | Podiatrist - Foot Surgery | MD002426 (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.
Roselle Podiatry Group, Pa acts as a billing entity for following providers:
Provider Name | Yeon A Shim |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1679504302 PECOS PAC ID: 1153456934 Enrollment ID: I20100318000379 |
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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. Roselle Podiatry Group, Pa 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 |
Roselle Podiatry Group, Pa 776 E 3rd Ave, Roselle, NJ 07203-1698 Ph: (908) 620-3200 | Roselle Podiatry Group, Pa 776 E 3rd Ave, Roselle, NJ 07203-1698 Ph: (908) 620-3200 |
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