Dr Jack Lawrence Baldassare, MD in Tenafly, NJ - Medicare Interventional Radiology

Dr Jack Lawrence Baldassare, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tenafly, New Jersey. He went to State University Of Ny Upstate Medical University and graduated in 1974 and has 50 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Rapid Access Medical Diagnostics Nj Llc, Hudson Md Group, Union Square Medical Imaging And Mammography Pc and his current practice location is 220 Oxford Dr, Tenafly, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 567-6156.

Dr Jack Lawrence Baldassare is licensed to practice in New Jersey (license number 25MA3606000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225070121.

Contact Information

	Dr Jack Lawrence Baldassare, MD
	220 Oxford Dr, Tenafly, NJ 07670-3118
	(201) 567-6156
	(201) 871-8708

Map and Direction

Physician's Profile

Full Name	Dr Jack Lawrence Baldassare
Gender	Male
Speciality	Interventional Radiology
Experience	50 Years
Location	220 Oxford Dr, Tenafly, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jack Lawrence Baldassare attended and graduated from State University Of Ny Upstate Medical University in 1974

NPI Data:

NPI Number: 1225070121
Provider Enumeration Date: 06/12/2006
Last Update Date: 12/15/2009

Medicare PECOS Information:

PECOS PAC ID: 5890777205
Enrollment ID: I20040601001399

Medical Identifiers

Medical identifiers for Dr Jack Lawrence Baldassare such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225070121	NPI	-	NPPES
00481521	Medicaid	NY
BA113644	Other	NJ	MEDICARE ID-TYPE
0864307	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	25MA3606000 (New Jersey)	Primary
2085R0202X	Radiology - Diagnostic Radiology	124001-1 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rapid Access Medical Diagnostics Nj Llc	4284897935	2
Hudson Md Group	6103240478	83

Union Square Medical Imaging And Mammography Pc	1153376744	4

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 Jack Lawrence Baldassare allows following entities to bill medicare on his behalf.

Entity Name	Imaging Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346520715 PECOS PAC ID: 0648442079 Enrollment ID: O20111007000289

Entity Name	Rapid Access Medical Diagnostics Nj Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780940551 PECOS PAC ID: 4284897935 Enrollment ID: O20120517000116

Entity Name	Hudson Md Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497301998 PECOS PAC ID: 6103240478 Enrollment ID: O20200720001687

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 Jack Lawrence Baldassare 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
Dr Jack Lawrence Baldassare, MD 220 Oxford Dr, Tenafly, NJ 07670-3118 Ph: (201) 567-6156	Dr Jack Lawrence Baldassare, MD 220 Oxford Dr, Tenafly, NJ 07670-3118 Ph: (201) 567-6156

Reviews and Comments

Radiology Doctors in Tenafly, NJ

Jeffrey P Goldman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dogwood Ln, Tenafly, NJ 07670 Phone: 201-568-1595
Anna B Kelly, MD Radiology Medicare: Medicare Enrolled Practice Location: 81 E Clinton Ave, Tenafly, NJ 07670 Phone: 201-233-5726
Dr. Gail Quackenbush, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 56 Downey Dr, Tenafly, NJ 07670 Phone: 201-694-0674
Dr. Christopher Mark Mele, MD Radiology Medicare: Medicare Enrolled Practice Location: 378 Knickerbocker Rd, Tenafly, NJ 07670 Phone: 973-676-1000
Stacey Siegel, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8 Woodhill Rd, Tenafly, NJ 07670 Phone: 201-741-0998

Dr Jack Lawrence Baldassare, MD - Medicare Interventional Radiology in Tenafly, NJ