Paul M Starker, MD - Medicare Surgery in Summit, NJ

Paul M Starker, MD is a medicare enrolled "Surgery" physician in Summit, New Jersey. His current practice location is 11 Overlook Rd, Suite 160, Summit, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 608-9001.

Paul M Starker is licensed to practice in New Jersey (license number MA52781) 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 1659376747.

Contact Information

Paul M Starker, MD
11 Overlook Rd, Suite 160,
Summit, NJ 07901-3577
(908) 608-9001
(908) 608-9030

Map and Direction




Physician's Profile

Full NamePaul M Starker
GenderMale
SpecialitySurgery
Location11 Overlook Rd, Summit, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659376747
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 02/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2264529064
  • Enrollment ID: I20071025000463

Medical Identifiers

Medical identifiers for Paul M Starker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659376747NPI-NPPES
79L75OtherNYEMPIRE
US129OtherNJOXFORD
2088350OtherNJAETNA
0713902MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MA52781 (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. Paul M Starker allows following entities to bill medicare on his behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690

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. Paul M Starker 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
Paul M Starker, MD
Po Box 416457,
Boston, MA 02241-6457

Ph: (973) 656-6280
Paul M Starker, MD
11 Overlook Rd, Suite 160,
Summit, NJ 07901-3577

Ph: (908) 608-9001

Reviews and Comments


Surgery Doctors in Summit, NJ

Dr. David Daniels, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 33 Overlook Rd, Suite 302, Summit, NJ 07901
Phone: 908-598-8222    Fax: 908-598-8222
Kerry Bergman, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 973-971-7185    
James Gardner, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 33 Overlook Rd, Suite 310, Summit, NJ 07901
Phone: 908-918-1969    Fax: 908-918-1995
Dr. Aaron T Miller, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 33 Overlook Rd, Suite 412, Summit, NJ 07901
Phone: 908-598-0220    Fax: 908-598-0415
Dr. Stancie C. Rhodes, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Springfield Avenue, Suite 3a, Summit, NJ 07901
Phone: 908-202-6942    
Eric Lazar, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 973-971-5595    
Stephen C Hall, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 33 Overlook Rd, Suite 205, Summit, NJ 07901
Phone: 908-522-4500    Fax: 908-522-1222

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.