Dr Luke Edmund Eyerman, MD is a medicare enrolled "Family Medicine" physician in Palisades Park, New Jersey. His current practice location is
103 Grand Ave, Palisades Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 947-7642.
Dr Luke Edmund Eyerman is licensed to practice in New Jersey (license number 25MA07823000) 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 1225021405.
Physician's Profile
| Full Name | Dr Luke Edmund Eyerman |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 103 Grand Ave, Palisades Park, 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. |
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NPI Data:
- NPI Number: 1225021405
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7719933068
- Enrollment ID: I20050330000007
Medical Identifiers
Medical identifiers for Dr Luke Edmund Eyerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225021405 | NPI | - | NPPES |
| 3778092 | Other | NJ | AETNA |
| P3578244 | Other | NJ | OXFORD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 25MA07823000 (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 Luke Edmund Eyerman allows following entities to bill medicare on his behalf.
| Entity Name | Luke Eyerman, Md, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518104249
PECOS PAC ID: 6608925383
Enrollment ID: O20090529000241 |
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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 Luke Edmund Eyerman 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 Luke Edmund Eyerman, MD
103 Grand Ave,
Palisades Park, NJ 07650-1007
Ph: (201) 947-7642 | Dr Luke Edmund Eyerman, MD
103 Grand Ave,
Palisades Park, NJ 07650-1007
Ph: (201) 947-7642 |
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