Dr Indira Gjoni, MD - Medicare Family Practice in Verona, NJ

Dr Indira Gjoni, MD is a medicare enrolled "Family Medicine" physician in Verona, New Jersey. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Optum Medical Care Pc and her current practice location is 799 Bloomfield Ave, Suite 201, Verona, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 746-7050.

Dr Indira Gjoni is licensed to practice in New Jersey (license number 25MA09564700) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992094726.

Contact Information

Dr Indira Gjoni, MD
799 Bloomfield Ave, Suite 201,
Verona, NJ 07044-1367
(973) 746-7050
Not Available

Map and Direction




Physician's Profile

Full NameDr Indira Gjoni
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location799 Bloomfield Ave, Verona, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Indira Gjoni graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1992094726
  • Provider Enumeration Date: 04/01/2011
  • Last Update Date: 02/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4688991326
  • Enrollment ID: I20191029000357

Medical Identifiers

Medical identifiers for Dr Indira Gjoni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992094726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA09564700 (New Jersey)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optum Medical Care Pc9931013240961

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. Dr Indira Gjoni allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321

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. Dr Indira Gjoni 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
Dr Indira Gjoni, MD
799 Bloomfield Ave,
Verona, NJ 07044-1367

Ph: () -
Dr Indira Gjoni, MD
799 Bloomfield Ave, Suite 201,
Verona, NJ 07044-1367

Ph: (973) 746-7050

Reviews and Comments


Family Medicine Doctors in Verona, NJ

Everett Schlam, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 799 Bloomfield Ave, Verona, NJ 07044
Phone: 973-971-5595    
Dr. Kennedy Palwasha Fazli Daftani, M.D, MHSA
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    Fax: 973-239-8650
Simone Alicia Douge, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    Fax: 833-495-1920
Dr. Mandy Lauren Sacher, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    Fax: 822-495-1921
Dr. Kevin James Berg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 799 Bloomfield Ave, Suite 201, Verona, NJ 07044
Phone: 973-746-7050    Fax: 973-259-3569
Francis Oppong, MD, MPH
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 799 Bloomfield Ave, Verona, NJ 07044
Phone: 973-259-3563    
Margaret Anne Kelly, PA-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    

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.