Clinical Health Care Associates Of New Jersey Pc - Medicare Primary Care in Cherry Hill, NJ

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Clinical Health Care Associates Of New Jersey Pc is a medicare enrolled primary clinic (Internal Medicine) in Cherry Hill, New Jersey. The current practice location for Clinical Health Care Associates Of New Jersey Pc is 1400 Route 70 E, Cherry Hill, New Jersey. For appointments, you can reach them via phone at (856) 216-0300. The mailing address for Clinical Health Care Associates Of New Jersey Pc is 3624 Market St Ste 560w, Philadelphia, Pennsylvania and phone number is (215) 662-2286.

Clinical Health Care Associates Of New Jersey Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124122387. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (856) 216-0300.

Contact Information

Clinical Health Care Associates Of New Jersey Pc
1400 Route 70 E
Cherry Hill
NJ 08034-2230
(856) 216-0300
(856) 216-7148

Map and Direction


Primary Care Clinic Profile

Full NameClinical Health Care Associates Of New Jersey Pc
SpecialityInternal Medicine
Location1400 Route 70 E, Cherry Hill, New Jersey
Authorized Official Name and PositionStacy Greco (SR. ENROLLMENT MANAGER)
Authorized Official Contact2233418516
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clinical Health Care Associates Of New Jersey Pc
3624 Market St Ste 560w
Philadelphia
PA 19104-2617

Ph: (215) 662-2286		Clinical Health Care Associates Of New Jersey Pc
1400 Route 70 E
Cherry Hill
NJ 08034-2230

Ph: (856) 216-0300

NPI Details:

NPI Number1124122387
Provider Enumeration Date09/11/2006
Last Update Date01/14/2026

Medicare PECOS Information:

Medicare PECOS PAC ID0749180198
Medicare Enrollment IDO20040112000121

Medical Identifiers

Medical identifiers for Clinical Health Care Associates Of New Jersey Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124122387NPI-NPPES
554338OtherNJNJ BLUE SHIELD
867643OtherNJAETNA
DD7381OtherNJRAILROAD MEDICARE
0482067000OtherNJNJ AMERIHEALTH
2Y21758OtherNJHEALTHNET
3201503MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology (Pennsylvania)Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clinical Health Care Associates Of New Jersey Pc acts as a billing entity for following providers:
Provider NameJiten Rana
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518068972
PECOS PAC ID: 2062401540
Enrollment ID: I20040510001036
Provider NameWilliam H Matthai
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1699702597
PECOS PAC ID: 8820070436
Enrollment ID: I20040607000136
Provider NameHarvey L Waxman
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1073545414
PECOS PAC ID: 0345222964
Enrollment ID: I20040607000165
Provider NameAlan S Moak
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1912939216
PECOS PAC ID: 3577545193
Enrollment ID: I20040607000195
Provider NameRobert H Li
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1033140710
PECOS PAC ID: 6507848132
Enrollment ID: I20040607000261
Provider NameGene Chang
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1174554851
PECOS PAC ID: 9133101777
Enrollment ID: I20040607000362
Provider NameKristen Rainear
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1689662165
PECOS PAC ID: 3072597970
Enrollment ID: I20040617000532
Provider NameMary Friedman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700905072
PECOS PAC ID: 9739159427
Enrollment ID: I20040729000830
Provider NameMahesh Ghayal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1841217635
PECOS PAC ID: 0446164537
Enrollment ID: I20040806000029
Provider NamePaula Seth
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1235119637
PECOS PAC ID: 4082686969
Enrollment ID: I20040811000283
Provider NameJoann Bezanis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740232883
PECOS PAC ID: 9739157983
Enrollment ID: I20040924000266
Provider NameXiaoping Ma
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1912946724
PECOS PAC ID: 9638109739
Enrollment ID: I20050818000351
Provider NameArthur P Topoulos
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952331944
PECOS PAC ID: 2961434659
Enrollment ID: I20050901000804
Provider NameDavid Arluck
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1508963240
PECOS PAC ID: 4486687969
Enrollment ID: I20050915000016
Provider NameAlan D Kramer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1316918956
PECOS PAC ID: 4183516321
Enrollment ID: I20050919000658
Provider NameAlan D Askenase
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033141320
PECOS PAC ID: 9931149424
Enrollment ID: I20050922000158
Provider NameMark R Sorensen
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053383877
PECOS PAC ID: 1456303767
Enrollment ID: I20050922000791
Provider NameDouglas Scott Jacoby
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1477580371
PECOS PAC ID: 2860418308
Enrollment ID: I20051216000047
Provider NameSharon Rubin
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1386667996
PECOS PAC ID: 7810893427
Enrollment ID: I20051229000095
Provider NameCraig Alan Frankil
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1942231709
PECOS PAC ID: 9032160155
Enrollment ID: I20070110000003
Provider NameJohn B Bullinga
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1699706994
PECOS PAC ID: 4880624931
Enrollment ID: I20070810000164
Provider NameCheryl Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093769887
PECOS PAC ID: 7517050297
Enrollment ID: I20070911000909
Provider NamePaul M Kostoulakos
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1982817326
PECOS PAC ID: 0345337994
Enrollment ID: I20071030000391
Provider NameElaine C Fidler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053535344
PECOS PAC ID: 2961590500
Enrollment ID: I20071115000578
Provider NameCharles T Leng
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1649210147
PECOS PAC ID: 4789773128
Enrollment ID: I20081210000468
Provider NameStephen Wong
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1942293881
PECOS PAC ID: 7719922707
Enrollment ID: I20090728000365
Provider NameJack F Quinlan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1942460514
PECOS PAC ID: 4789727819
Enrollment ID: I20100211000273
Provider NameMichael P Riley
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1093877573
PECOS PAC ID: 5698867729
Enrollment ID: I20100324001070
Provider NameStephen M Chrzanowski
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1497926497
PECOS PAC ID: 3375698897
Enrollment ID: I20100520000836
Provider NameFrancis E Marchlinski
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1053497776
PECOS PAC ID: 3678608338
Enrollment ID: I20100628000159
Provider NameBenjamin Silverman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1699091090
PECOS PAC ID: 5092847756
Enrollment ID: I20100715000228
Provider NameIan I Joffe
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1891766622
PECOS PAC ID: 7911954961
Enrollment ID: I20101022000881
Provider NameJignesh D Bhavsar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1093832404
PECOS PAC ID: 0547454282
Enrollment ID: I20101209001216
Provider NameNeil Levin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053343368
PECOS PAC ID: 6103866736
Enrollment ID: I20101229000611
Provider NameRichard L Weiss
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053343376
PECOS PAC ID: 2961531199
Enrollment ID: I20110104001270
Provider NameRoss R Zimmer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1750313078
PECOS PAC ID: 8426097007
Enrollment ID: I20110204000476
Provider NameBrian M Drachman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801827597
PECOS PAC ID: 6305886896
Enrollment ID: I20110304000789
Provider NameKaren Lucas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043446065
PECOS PAC ID: 7113078288
Enrollment ID: I20110425000629
Provider NameLisa M Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164721247
PECOS PAC ID: 1456536374
Enrollment ID: I20110614000438
Provider NameRajat Kumar
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1356541320
PECOS PAC ID: 8921276429
Enrollment ID: I20110728000439
Provider NameBethanne Fehrenbach Wolfson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083645634
PECOS PAC ID: 9032375571
Enrollment ID: I20120727000074
Provider NameTheodhor Diamanti
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861618043
PECOS PAC ID: 1456425271
Enrollment ID: I20121120000207
Provider NameJihane J Hajj
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427282698
PECOS PAC ID: 7517016884
Enrollment ID: I20130716000046
Provider NameManish Gulshan Malik
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457555245
PECOS PAC ID: 8426299231
Enrollment ID: I20130720000019
Provider NameAmy Elizabeth Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275961948
PECOS PAC ID: 2668602657
Enrollment ID: I20140314000081
Provider NameChristopher Sipala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487071049
PECOS PAC ID: 8628291457
Enrollment ID: I20140707000721
Provider NameJoshua Liez
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134283476
PECOS PAC ID: 0143448126
Enrollment ID: I20150122000461
Provider NameHansie Marie Mathelier
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1770637357
PECOS PAC ID: 6305906454
Enrollment ID: I20150216001732
Provider NameMatthew R Dering
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972923779
PECOS PAC ID: 8820216906
Enrollment ID: I20150812006355
Provider NameRobert Fenning
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1679735211
PECOS PAC ID: 7517274236
Enrollment ID: I20150916000244
Provider NameBenjamin D Souza
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1518167824
PECOS PAC ID: 8921263070
Enrollment ID: I20150922001981
Provider NameMargaret E Shanks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386940559
PECOS PAC ID: 7517142292
Enrollment ID: I20151130001589
Provider NameLauren Herron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356716690
PECOS PAC ID: 9931403102
Enrollment ID: I20160209000578
Provider NameRobert W Pattillo
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1821077355
PECOS PAC ID: 1658268115
Enrollment ID: I20160422000806
Provider NameAnirudh Kapoor
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1033400056
PECOS PAC ID: 5597059063
Enrollment ID: I20160805000707
Provider NameSameer J Khandhar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1558534172
PECOS PAC ID: 0547326365
Enrollment ID: I20161116001069
Provider NameMillee Singh
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1306004262
PECOS PAC ID: 9931325610
Enrollment ID: I20170206002363
Provider NameTodd B Mendelson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1902048291
PECOS PAC ID: 5890085336
Enrollment ID: I20171019001049
Provider NameKimberly Ann Leotta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336443324
PECOS PAC ID: 1456535459
Enrollment ID: I20180126000410
Provider NameRoy Vijay Arjoon
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1407145592
PECOS PAC ID: 9436381290
Enrollment ID: I20180626002354
Provider NameGene Iucci
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053674390
PECOS PAC ID: 9133428865
Enrollment ID: I20180724000297
Provider NameAna Sofia Prospero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144566019
PECOS PAC ID: 9335384445
Enrollment ID: I20181002000096
Provider NameMarilou Nieves Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750694568
PECOS PAC ID: 8628248200
Enrollment ID: I20181025002459
Provider NameCaitlin M Faupel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215492350
PECOS PAC ID: 9335481258
Enrollment ID: I20190425000370
Provider NameDimitrios Barmpouletos
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1629260013
PECOS PAC ID: 6709003619
Enrollment ID: I20190501000482
Provider NameBenjamin Jospeh Vaccaro
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1295027936
PECOS PAC ID: 8325329386
Enrollment ID: I20190829000259
Provider NameMichael Kull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831755065
PECOS PAC ID: 1658600580
Enrollment ID: I20190903000182
Provider NameKamleish A Persad
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1205270436
PECOS PAC ID: 8527373547
Enrollment ID: I20190918001361
Provider NameNeel Pravin Chokshi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1679763304
PECOS PAC ID: 9638312689
Enrollment ID: I20191105001492
Provider NameAlanna Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770988404
PECOS PAC ID: 7416270855
Enrollment ID: I20200903000687
Provider NameJessica Fleitman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376986109
PECOS PAC ID: 4385653435
Enrollment ID: I20201013000738
Provider NameRupal Oquinn
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033319991
PECOS PAC ID: 9234380122
Enrollment ID: I20201117001194
Provider NameCarl Reynolds
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770502221
PECOS PAC ID: 4385640838
Enrollment ID: I20211201001678
Provider NameImran Khan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1669728556
PECOS PAC ID: 8426353699
Enrollment ID: I20220106002379
Provider NameGary Vigilante
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013947167
PECOS PAC ID: 7416082953
Enrollment ID: I20220223000191
Provider NameMichelle Wecker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265922488
PECOS PAC ID: 7214292226
Enrollment ID: I20220224002975
Provider NamePaul Corotto
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1902198237
PECOS PAC ID: 9335428622
Enrollment ID: I20220307000911
Provider NameRussell Rosenberg
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1750795175
PECOS PAC ID: 8224250386
Enrollment ID: I20221006003541
Provider NameJames Davis
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1871974279
PECOS PAC ID: 8426345513
Enrollment ID: I20221110002153
Provider NameMatthew Hyman
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1508158338
PECOS PAC ID: 8123373768
Enrollment ID: I20221116002993
Provider NameMalgorzata Mysliwiec
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104192095
PECOS PAC ID: 4183934516
Enrollment ID: I20230831003028
Provider NameAdi Ganz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730341744
PECOS PAC ID: 9335334374
Enrollment ID: I20231201002594
Provider NameMegan Mccullough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851410138
PECOS PAC ID: 3678706538
Enrollment ID: I20231211002388
Provider NameJoshua Weinstock
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1821518416
PECOS PAC ID: 2062872914
Enrollment ID: I20231219002178
Provider NameParul Patel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376750729
PECOS PAC ID: 2365533809
Enrollment ID: I20240105002443
Provider NameSaum Shamimi-noori
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1073715181
PECOS PAC ID: 7214101088
Enrollment ID: I20240109002905
Provider NameAditya Parikh
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1588939938
PECOS PAC ID: 6608110887
Enrollment ID: I20240510000093
Provider NameSaima Usmani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1669933800
PECOS PAC ID: 6709329808
Enrollment ID: I20240618000477
Provider NameRosemary Selby Barrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922429620
PECOS PAC ID: 8921304692
Enrollment ID: I20240618000758
Provider NameCourtney Hogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487964615
PECOS PAC ID: 7113175159
Enrollment ID: I20240709000551
Provider NameOby Ibe
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1073000659
PECOS PAC ID: 3072861368
Enrollment ID: I20241023003352
Provider NameStephen Keane
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1043944481
PECOS PAC ID: 2062943590
Enrollment ID: I20241023003622
Provider NameSima Hodavance
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1982921375
PECOS PAC ID: 4789933995
Enrollment ID: I20241118001917
Provider NameAnika Vaidy
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134579873
PECOS PAC ID: 1153656632
Enrollment ID: I20241125000597
Provider NameNicole Walton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114686540
PECOS PAC ID: 0345633699
Enrollment ID: I20250402002614
Provider NameBhumi Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275048381
PECOS PAC ID: 1153680442
Enrollment ID: I20250422002727
Provider NameLisa Mangino Blanchard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811273980
PECOS PAC ID: 0446427439
Enrollment ID: I20250513000034

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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.