Athena Maria Yudin, is a medicare enrolled "Pediatrics" physician in Sicklerville, New Jersey. Her current practice location is
1303 Liberty Pl, Sicklerville, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 885-4854.
Athena Maria Yudin is licensed to practice in New Jersey (license number 26NJ00951900) 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 1174171086.
Physician's Profile
Full Name | Athena Maria Yudin |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1303 Liberty Pl, Sicklerville, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174171086
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 04/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961833082
- Enrollment ID: I20200505002381
Medical Identifiers
Medical identifiers for Athena Maria Yudin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174171086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 26NJ00951900 (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. Athena Maria Yudin allows following entities to bill medicare on her behalf.
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
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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. Athena Maria Yudin 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 |
Athena Maria Yudin, 1303 Liberty Pl, Sicklerville, NJ 08081-5710 Ph: (856) 885-4854 | Athena Maria Yudin, 1303 Liberty Pl, Sicklerville, NJ 08081-5710 Ph: (856) 885-4854 |
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