Joel M Krauss, MD - Medicare Pediatrics in Plainsboro, NJ

Joel M Krauss, MD is a medicare enrolled "Pediatrics" physician in Plainsboro, New Jersey. His current practice location is 1 Plainsboro Rd, Plainsboro, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 853-7000.

Joel M Krauss is licensed to practice in Pennsylvania (license number MD436092) 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 1629120472.

Contact Information

Joel M Krauss, MD
1 Plainsboro Rd,
Plainsboro, NJ 08536-1913
(609) 853-7000
(609) 497-4139

Map and Direction




Physician's Profile

Full NameJoel M Krauss
GenderMale
SpecialityPediatrics
Location1 Plainsboro Rd, Plainsboro, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629120472
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 11/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375609894
  • Enrollment ID: I20090309000540

Medical Identifiers

Medical identifiers for Joel M Krauss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629120472NPI-NPPES
1022741970003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD436092 (Pennsylvania)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. Joel M Krauss allows following entities to bill medicare on his behalf.
Entity NameAtlanticare Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405
Entity NamePrinceton Healthcare Affiliated Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518194323
PECOS PAC ID: 2567598022
Enrollment ID: O20100413000141

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. Joel M Krauss 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
Joel M Krauss, MD
100 E Penn Sq, 9th Floor North Tower,
Philadelphia, PA 19107-3323

Ph: (267) 425-9200
Joel M Krauss, MD
1 Plainsboro Rd,
Plainsboro, NJ 08536-1913

Ph: (609) 853-7000

Reviews and Comments


Pediatrics Doctors in Plainsboro, NJ

Dr. Richard Rothchild, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Plainsboro Rd, Chop Care Network At Princeton Medical Center, Plainsboro, NJ 08536
Phone: 215-829-3191    Fax: 215-829-7123
Dr. Koel Guha, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Plainsboro Rd, Chop Care Network At Princeton Medical Center, Plainsboro, NJ 08536
Phone: 609-853-7000    Fax: 609-497-4137
Emma Jane Bradbury Robson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Plainsboro Rd, Plainsboro, NJ 08536
Phone: 206-987-2525    
Dr. Rafia Qandeel Baloch, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1 Plainsboro Rd, Plainsboro, NJ 08536
Phone: 609-853-6500    
Dr. Niranjana Rajan-mohandas, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 666 Plainsboro Rd, Suite 2000e, Plainsboro, NJ 08536
Phone: 609-799-0068    Fax: 609-799-5534
Anupa Dalal,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Plainsboro Rd, Plainsboro, NJ 08536
Phone: 609-853-7626    
Alicia Ann Brennan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Plainsboro Rd, Chop Care Network At Princeton Medical Center, Plainsboro, NJ 08536
Phone: 609-853-7000    Fax: 609-497-4173

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.