Gregory R Novotny, DO is a medicare enrolled "Internal Medicine" physician in Woodbine, New Jersey. His current practice location is
1175 Dehirsch Ave, Woodbine, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 861-2164.
Gregory R Novotny is licensed to practice in New Jersey (license number 25MB05370500) 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 1750315198.
Physician's Profile
Full Name | Gregory R Novotny |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 1175 Dehirsch Ave, Woodbine, 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: 1750315198
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 02/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173569662
- Enrollment ID: I20050706000941
Medical Identifiers
Medical identifiers for Gregory R Novotny such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750315198 | NPI | - | NPPES |
8060606 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 25MB05370500 (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. Gregory R Novotny allows following entities to bill medicare on his behalf.
Entity Name | Atlanticare Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
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Entity Name | State Of New Jersey Omb Centralized Payroll |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982642641 PECOS PAC ID: 6406742592 Enrollment ID: O20050420000657 |
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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. Gregory R Novotny 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 |
Gregory R Novotny, DO 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 Ph: () - | Gregory R Novotny, DO 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 Ph: (609) 861-2164 |
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