Elite Premier Medical Care Llc - Medicare Primary Care in Paterson, NJ

Elite Premier Medical Care Llc is a medicare enrolled primary clinic (Family Medicine) in Paterson, New Jersey. The current practice location for Elite Premier Medical Care Llc is 470 Chamberlain Ave Ste 7, Paterson, New Jersey. For appointments, you can reach them via phone at (973) 595-7400. The mailing address for Elite Premier Medical Care Llc is 425 15th Ave Ste 2, Paterson, New Jersey and phone number is (973) 595-7400.

Elite Premier Medical Care Llc is licensed to practice in New Jersey (license number 25MA07147400). The clinic also participates in the medicare program and its NPI number is 1609144005. 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 (973) 595-7400.

Contact Information

Elite Premier Medical Care Llc
470 Chamberlain Ave Ste 7
Paterson
NJ 07522-1000
(973) 595-7400
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameElite Premier Medical Care Llc
SpecialityFamily Medicine
Location470 Chamberlain Ave Ste 7, Paterson, New Jersey
Authorized Official Name and PositionMiryam Revoredo (GENERAL MANEGAR)
Authorized Official Contact9735957400
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elite Premier Medical Care Llc
425 15th Ave Ste 2
Paterson
NJ 07504-1811

Ph: (973) 595-7400
Elite Premier Medical Care Llc
470 Chamberlain Ave Ste 7
Paterson
NJ 07522-1000

Ph: (973) 595-7400

NPI Details:

NPI Number1609144005
Provider Enumeration Date12/13/2011
Last Update Date12/13/2011

Medicare PECOS Information:

Medicare PECOS PAC ID3274795463
Medicare Enrollment IDO20120504000300

Medical Identifiers

Medical identifiers for Elite Premier Medical Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609144005NPI-NPPES
8376808MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA07147400 (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. Elite Premier Medical Care Llc acts as a billing entity for following providers:
Provider NameFred S Revoredo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669588422
PECOS PAC ID: 3779479480
Enrollment ID: I20040227000314

Reviews and Comments


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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.