Dr Jonathan Winston Phillips, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Norwood, New Jersey. His current practice location is
335 Chestnut St, Norwood, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 899-3560.
Dr Jonathan Winston Phillips is licensed to practice in New Jersey (license number 25MA10397400) 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 1205090974.
Physician's Profile
Full Name | Dr Jonathan Winston Phillips |
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Gender | Male |
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Speciality | Family Medicine - Sports Medicine |
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Location | 335 Chestnut St, Norwood, 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: 1205090974
- Provider Enumeration Date: 07/11/2008
- Last Update Date: 11/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587828264
- Enrollment ID: I20120608000198
Medical Identifiers
Medical identifiers for Dr Jonathan Winston Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205090974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QS0010X | Family Medicine - Sports Medicine | ME110737 (Florida) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 25MA10397400 (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 Jonathan Winston Phillips allows following entities to bill medicare on his behalf.
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
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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 Jonathan Winston Phillips 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 Jonathan Winston Phillips, MD 7560 Red Bug Lake Rd, Oviedo, FL 32765-6591 Ph: (407) 951-5833 | Dr Jonathan Winston Phillips, MD 335 Chestnut St, Norwood, NJ 07648-2001 Ph: (201) 899-3560 |
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