Samantha Heisler, DO - Medicare Pediatrics in Neptune, NJ

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Samantha Heisler, DO is a medicare enrolled "Pediatrics" physician in Neptune, New Jersey. Her current practice location is 1945 Route 33, Neptune, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 776-4333.

Samantha Heisler is licensed to practice in New Jersey (license number 25MA09982500) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366989907.

Contact Information

Samantha Heisler, DO
1945 Route 33,
Neptune, NJ 07753-4859
(732) 776-4333
Not Available

Map and Direction




Physician's Profile

Full NameSamantha Heisler
GenderFemale
SpecialityPediatrics
Location1945 Route 33, Neptune, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366989907
  • Provider Enumeration Date: 01/20/2017
  • Last Update Date: 01/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2163794900
  • Enrollment ID: I20170815000390

Medical Identifiers

Medical identifiers for Samantha Heisler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366989907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA09982500 (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. Samantha Heisler allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687
Entity NameBaltimore Washington Emergency Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215983853
PECOS PAC ID: 3577451103
Enrollment ID: O20040305001004

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. Samantha Heisler 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
Samantha Heisler, DO
518 Dakota Dr,
Hamilton, NJ 08619-2077

Ph: () -		Samantha Heisler, DO
1945 Route 33,
Neptune, NJ 07753-4859

Ph: (732) 776-4333

Reviews and Comments


Pediatrics Doctors in Neptune, NJ

Helen Karwowska, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 19 Davis Ave Fl 7, Neptune, NJ 07753
Phone: 732-776-4524    Fax: 732-776-4639
Beth Ann Loveridge-lenza, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 61 Davis Ave, Neptune, NJ 07753
Phone: 732-776-4860    Fax: 732-776-3509
Dr. Ann S Ross, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 19 Davis Ave Fl 7, Neptune, NJ 07753
Phone: 732-776-4524    Fax: 732-776-4639
Dr. Jennifer Jimenez, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 61 Davis Ave, Suite 1, Neptune, NJ 07753
Phone: 732-776-4860    Fax: 732-776-4867
Blair Faith Germain, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 19 Davis Ave Fl 7, Neptune, NJ 07753
Phone: 732-776-4524    Fax: 732-776-4639
Dr. Heather Grossman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 19 Davis Ave Fl 5, Neptune, NJ 07753
Phone: 732-776-3892    
Thomas Patrick Fitzgerald, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1945 State Route 33, Neptune, NJ 07754
Phone: 732-776-4483    Fax: 732-776-4798

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.