Mr Jorge Agustin Pardo, APN is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Union City, New Jersey. His current practice location is
408 37th St, Union City, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 864-4477.
Mr Jorge Agustin Pardo is licensed to practice in New Jersey (license number 26NJ01469600) 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 1871289520.
Physician's Profile
| Full Name | Mr Jorge Agustin Pardo |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 408 37th St, Union City, 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. |
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NPI Data:
- NPI Number: 1871289520
- Provider Enumeration Date: 04/14/2023
- Last Update Date: 05/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577929512
- Enrollment ID: I20230518000233
Medical Identifiers
Medical identifiers for Mr Jorge Agustin Pardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871289520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | 26NJ01469600 (New Jersey) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 26NJ01469600 (New Jersey) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ01469600 (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. Mr Jorge Agustin Pardo allows following entities to bill medicare on his behalf.
| Entity Name | Excelcare Medical Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992736300
PECOS PAC ID: 4284647868
Enrollment ID: O20060727000044 |
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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. Mr Jorge Agustin Pardo 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 |
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Mr Jorge Agustin Pardo, APN
3 University Plz Ste 205,
Hackensack, NJ 07601-6208
Ph: () - | Mr Jorge Agustin Pardo, APN
408 37th St,
Union City, NJ 07087-4994
Ph: (201) 864-4477 |
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