Dr Karen Senese, MD - Medicare Psychiatry in Toms River, NJ

Dr Karen Senese, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Toms River, New Jersey. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Psychiatry. Her current practice location is 520 Main St, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 557-4147.

Dr Karen Senese is licensed to practice in New Jersey (license number MA67729) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881767390.

Contact Information

Dr Karen Senese, MD
520 Main St,
Toms River, NJ 08753-7444
(732) 557-4147
(732) 557-4147

Map and Direction




Physician's Profile

Full NameDr Karen Senese
GenderFemale
SpecialityPsychiatry
Experience32 Years
Location520 Main St, Toms River, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Karen Senese graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1881767390
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1951597798
  • Enrollment ID: I20101119000119

Medical Identifiers

Medical identifiers for Dr Karen Senese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881767390NPI-NPPES
0007274403OtherNJAETNA PROVIDER NUMBER
228492OtherNJMHN PROVIDER NUMBER
279741000OtherNJAMERIHEALTH PROVIDER NUMB
2032377000OtherNJAMERIHEALTH PPO PROVIDER
214099000OtherNJMAGELLAN PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MA67729 (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 Karen Senese allows following entities to bill medicare on her behalf.
Entity NameKaren Senese Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144520073
PECOS PAC ID: 0042406886
Enrollment ID: O20101119000083

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 Karen Senese 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 AddressPractice Location Address
Dr Karen Senese, MD
520 Main St,
Toms River, NJ 08753-7444

Ph: (732) 557-4147
Dr Karen Senese, MD
520 Main St,
Toms River, NJ 08753-7444

Ph: (732) 557-4147

Reviews and Comments


Psychiatry & Neurology Doctors in Toms River, NJ

Robert Schuman,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 52 Hyers St, Toms River, NJ 08753
Phone: 732-349-5550    
Arshad Uddin Siddiqui,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1691 Us Highway 9, Toms River, NJ 08755
Phone: 732-914-3823    
Natalie Seminario, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1691 Us Highway 9, Toms River, NJ 08755
Phone: 732-914-3864    
Dr. Sai Lakshmi Ramanujam, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 409 Main St, Toms River, NJ 08753
Phone: 732-240-3760    Fax: 732-240-3865
Pandurang R Miskin, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 633 Rte 37 W, Toms River, NJ 08755
Phone: 732-240-4787    Fax: 732-240-3114
Violeta Avramov,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 633 Rte 37 W, Toms River, NJ 08755
Phone: 732-240-4787    Fax: 732-240-3114
Dr. Matthew J Pitera, M.D.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 2446 Church Rd, Suite 2-d, Toms River, NJ 08753
Phone: 732-244-6626    Fax: 732-244-6623

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.