Dr Mary B Lutz, MD is a medicare enrolled "Pediatrics" physician in Sea Girt, New Jersey. Her current practice location is
2130 Highway 35, Sea Girt, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 974-0228.
Dr Mary B Lutz is licensed to practice in New Jersey (license number 25MAO5658400) 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 1114064615.
Physician's Profile
Full Name | Dr Mary B Lutz |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2130 Highway 35, Sea Girt, 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: 1114064615
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 06/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 3779953211
- Enrollment ID: I20221228000981
Medical Identifiers
Medical identifiers for Dr Mary B Lutz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114064615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 25MAO5658400 (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 Mary B Lutz allows following entities to bill medicare on her behalf.
Entity Name | Barnabas Health Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
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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 Mary B Lutz 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 Mary B Lutz, MD 60 Harvard Cir, Princeton, NJ 08540-7937 Ph: (732) 974-0228 | Dr Mary B Lutz, MD 2130 Highway 35, Sea Girt, NJ 08750-1010 Ph: (732) 974-0228 |
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