Dr Jayati Basak, MD is a medicare enrolled "Anesthesiology" physician in Fort Lee, New Jersey. Her current practice location is
1608 Lemoine Ave, Fort Lee, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 346-1112.
Dr Jayati Basak is licensed to practice in New Jersey (license number MA44176) 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 1720155518.
Physician's Profile
Full Name | Dr Jayati Basak |
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Gender | Female |
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Speciality | Anesthesiology |
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Location | 1608 Lemoine Ave, Fort Lee, 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: 1720155518
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557275831
- Enrollment ID: I20031119000693
Medical Identifiers
Medical identifiers for Dr Jayati Basak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720155518 | NPI | - | NPPES |
0875708 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | MA44176 (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. Dr Jayati Basak allows following entities to bill medicare on her behalf.
Entity Name | Anesthesia Consultants Of Essex Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376577213 PECOS PAC ID: 3072508845 Enrollment ID: O20040420000338 |
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Entity Name | Pain Management Institute Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780989087 PECOS PAC ID: 0042265969 Enrollment ID: O20050314000865 |
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Entity Name | Leonid Lamper Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659687903 PECOS PAC ID: 7810186863 Enrollment ID: O20110106000983 |
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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 Jayati Basak 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 Jayati Basak, MD 208 Bennington Ter, Paramus, NJ 07652-1334 Ph: (201) 845-7721 | Dr Jayati Basak, MD 1608 Lemoine Ave, Fort Lee, NJ 07024-5622 Ph: (201) 346-1112 |
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