Dr Suzanne Elizabeth Plaine, DO - Medicare Pediatrics in Sea Girt, NJ

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Dr Suzanne Elizabeth Plaine, DO is a medicare enrolled "Pediatrics" physician in Sea Girt, New Jersey. Her current practice location is 2130 Route 35 Ste B216, Sea Girt, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 974-0228.

Dr Suzanne Elizabeth Plaine is licensed to practice in New Jersey (license number 25MB08652100) 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 1942433511.

Contact Information

Dr Suzanne Elizabeth Plaine, DO
2130 Route 35 Ste B216,
Sea Girt, NJ 08750-1010
(732) 974-0228
(732) 263-7938

Map and Direction




Physician's Profile

Full NameDr Suzanne Elizabeth Plaine
GenderFemale
SpecialityPediatrics
Location2130 Route 35 Ste B216, Sea Girt, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942433511
  • Provider Enumeration Date: 08/31/2009
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244507291
  • Enrollment ID: I20170524000111

Medical Identifiers

Medical identifiers for Dr Suzanne Elizabeth Plaine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942433511NPI-NPPES
0530972MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MB08652100 (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 Suzanne Elizabeth Plaine allows following entities to bill medicare on her behalf.
Entity NameHackensack Meridian Health Medical Group - Primary Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336203538
PECOS PAC ID: 7911003330
Enrollment ID: O20070502000000

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 Suzanne Elizabeth Plaine 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 Suzanne Elizabeth Plaine, DO
2130 Route 35 Ste B216,
Sea Girt, NJ 08750-1010

Ph: (732) 974-0228		Dr Suzanne Elizabeth Plaine, DO
2130 Route 35 Ste B216,
Sea Girt, NJ 08750-1010

Ph: (732) 974-0228

Reviews and Comments


Pediatrics Doctors in Sea Girt, NJ

Dr. Mary B Lutz, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2130 Highway 35, Sea Girt, NJ 08750
Phone: 732-974-0228    
Dr. Erin Mcfeely, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2130 Highway 35, Sea Girt Pediatrics, Suite B214, Sea Girt, NJ 08750
Phone: 732-974-0228    

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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