Dr Jesus Roberto Alfonso, MD is a medicare enrolled "Internal Medicine" physician in Weehawken, New Jersey. His current practice location is
4800 Park Ave, Weehawken, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 330-8747.
Dr Jesus Roberto Alfonso is licensed to practice in New Jersey (license number 25MA05064100) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649266925.
Physician's Profile
| Full Name | Dr Jesus Roberto Alfonso |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 4800 Park Ave, Weehawken, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1649266925
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 01/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 6305871435
- Enrollment ID: I20050928000291
Medical Identifiers
Medical identifiers for Dr Jesus Roberto Alfonso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649266925 | NPI | - | NPPES |
| 3410307 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MA05064100 (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 Jesus Roberto Alfonso allows following entities to bill medicare on his behalf.
| Entity Name | Palisades Medical Associates Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1558475087
PECOS PAC ID: 1557376803
Enrollment ID: O20060208000428 |
|---|
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 Jesus Roberto Alfonso 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 Jesus Roberto Alfonso, MD
4800 Park Ave,
Weehawken, NJ 07086-7210
Ph: (201) 330-8747 | Dr Jesus Roberto Alfonso, MD
4800 Park Ave,
Weehawken, NJ 07086-7210
Ph: (201) 330-8747 |
Reviews and Comments