Peter A Mcguire, MD - Medicare Pulmonary Disease in Middletown, NJ

Peter A Mcguire, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Middletown, New Jersey. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Pulmonary Disease. His current practice location is 2 Leonardville Rd, Middletown, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 842-2200.

Peter A Mcguire is licensed to practice in New Jersey (license number 25MA07820900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801087382.

Contact Information

Peter A Mcguire, MD
2 Leonardville Rd,
Middletown, NJ 07748-2311
(732) 842-2200
(732) 671-3500

Map and Direction




Physician's Profile

Full NamePeter A Mcguire
GenderMale
SpecialityPulmonary Disease
Experience25 Years
Location2 Leonardville Rd, Middletown, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Peter A Mcguire graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1801087382
  • Provider Enumeration Date: 08/08/2007
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224125067
  • Enrollment ID: I20071026000093

Medical Identifiers

Medical identifiers for Peter A Mcguire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801087382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MA078209 (New Jersey)Secondary
207RS0012XInternal Medicine - Sleep Medicine MA078209 (New Jersey)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 25MA07820900 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverview Medical CenterRed bank, NJHospital
Monmouth Medical CenterLong branch, NJHospital
Bayshore Medical CenterHolmdel, NJHospital

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. Peter A Mcguire allows following entities to bill medicare on his behalf.
Entity NameLeonardville Pulmonary And Sleep Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104017698
PECOS PAC ID: 7214024058
Enrollment ID: O20071026000103

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. Peter A Mcguire 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
Peter A Mcguire, MD
2 Leonardville Rd,
Middletown, NJ 07748-2311

Ph: (732) 842-2200
Peter A Mcguire, MD
2 Leonardville Rd,
Middletown, NJ 07748-2311

Ph: (732) 842-2200

Reviews and Comments


Internal Medicine Doctors in Middletown, NJ

Dr. Paul Joseph Luparello, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1270 Highway 35, Middletown, NJ 07748
Phone: 732-615-3900    Fax: 732-615-0865
Dr. Kristine Peregrino Lacuna,
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 480 Red Hill Rd, Middletown, NJ 07748
Phone: 929-452-1176    
Ms. Alexandra Leschinsky, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2 Kings Hwy E, Middletown, NJ 07748
Phone: 732-957-0707    Fax: 732-706-9558
Joseph Clemente, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1270 Highway 35, Middletown, NJ 07748
Phone: 732-615-3900    Fax: 732-615-0185
Rachel Rosenblum, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 480 Red Hill Rd, Middletown, NJ 07748
Phone: 848-225-6000    
Dr. Russell A Gross, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1270 Highway 35, Middletown, NJ 07748
Phone: 732-615-3900    Fax: 732-615-0865
Dr. Anthony Joseph Ricca, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1270 Highway 35, Middletown, NJ 07748
Phone: 732-615-3900    Fax: 732-615-0865

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).

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