Dr Jason B Wynberg, MD is a medicare enrolled "Urology" physician in Teaneck, New Jersey. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Urology. He is a member of the group practice Scranton Quincy Clinic Company Llc and his current practice location is
718 Teaneck Rd, Teaneck, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 227-6008.
Dr Jason B Wynberg is licensed to practice in New Jersey (license number 25MA10611400) 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 1023090230.
Physician's Profile
| Full Name | Dr Jason B Wynberg |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 29 Years |
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| Location | 718 Teaneck Rd, Teaneck, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jason B Wynberg graduated from medical school in 1995
NPI Data:
- NPI Number: 1023090230
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739117383
- Enrollment ID: I20230918001756
Medical Identifiers
Medical identifiers for Dr Jason B Wynberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023090230 | NPI | - | NPPES |
| PENDING | Medicaid | NJ | |
| 02759039 | Medicaid | NY | |
| P1388005 | Other | NJ | OXFORD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 4301086135 (Michigan) | Secondary |
| 208800000X | Urology | BW9323382 (New Jersey) | Secondary |
| 208800000X | Urology | 240026 (New York) | Secondary |
| 208800000X | Urology | 25MA10611400 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Scranton Quincy Clinic Company Llc | 0143487389 | 55 |
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 Jason B Wynberg allows following entities to bill medicare on his behalf.
| Entity Name | Scranton Quincy Clinic Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508143074
PECOS PAC ID: 0143487389
Enrollment ID: O20120131000544 |
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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. Dr Jason B Wynberg 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 Jason B Wynberg, MD
3 University Plz Ste 205,
Hackensack, NJ 07601-6208
Ph: (201) 833-3599 | Dr Jason B Wynberg, MD
718 Teaneck Rd,
Teaneck, NJ 07666-4245
Ph: (201) 227-6008 |
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