Michele Theresa Gilsenan, DO - Medicare Family Practice in Clark, NJ

Michele Theresa Gilsenan, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Clark, New Jersey. She went to University Of New England, College Of Osteo Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Summit Medical Group Pa and her current practice location is 67 Walnut Ave, Clark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 388-7300.

Michele Theresa Gilsenan is licensed to practice in New Jersey (license number MB53933) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821066283.

Contact Information

Michele Theresa Gilsenan, DO
67 Walnut Ave,
Clark, NJ 07066-1640
(732) 388-7300
(732) 388-1330

Map and Direction




Physician's Profile

Full NameMichele Theresa Gilsenan
GenderFemale
SpecialityFamily Practice
Experience36 Years
Location67 Walnut Ave, Clark, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michele Theresa Gilsenan attended and graduated from University Of New England, College Of Osteo Medicine in 1988
  NPI Data:
  • NPI Number: 1821066283
  • Provider Enumeration Date: 03/10/2006
  • Last Update Date: 07/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9133033244
  • Enrollment ID: I20040319000665

Medical Identifiers

Medical identifiers for Michele Theresa Gilsenan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821066283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine MB53933 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761247

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. Michele Theresa Gilsenan allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameCity Medical Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568858686
PECOS PAC ID: 6406161306
Enrollment ID: O20150821013274

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. Michele Theresa Gilsenan 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
Michele Theresa Gilsenan, DO
67 Walnut Ave,
Clark, NJ 07066-1640

Ph: (732) 388-7300
Michele Theresa Gilsenan, DO
67 Walnut Ave,
Clark, NJ 07066-1640

Ph: (732) 388-7300

Reviews and Comments


Family Medicine Doctors in Clark, NJ

Dr. Darshini Shah, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1180 Raritan Rd, Clark, NJ 07066
Phone: 832-606-6130    
Rania Muhieddine, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Commerce Pl, Clark, NJ 07066
Phone: 732-943-4400    Fax: 732-388-4538
Alan F Goldstein, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Multi-care, 100 Commerce Place, Clark, NJ 07066
Phone: 732-499-0606    Fax: 732-499-8128
Michael Elliot Beams, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 67 Walnut Ave, Clark, NJ 07066
Phone: 732-388-7300    Fax: 732-388-1330
Dr. Rubaba Hussain, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Commerce Pl, Clark, NJ 07066
Phone: 732-499-0606    
Dr. Michael Genereux, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 67 Walnut Ave, Clark, NJ 07066
Phone: 732-388-7300    Fax: 732-388-1330
Derrick Heydinger, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 140 Central Ave Ste 700, Clark, NJ 07066
Phone: 973-943-5042    Fax: 973-943-5032

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.