Heinny Severini, APN is a medicare enrolled "Urology" in Maywood, New Jersey. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group Pa and her current practice location is
255 W Spring Valley Ave Ste 101, Maywood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 487-8866.
Heinny Severini is licensed to practice in New Jersey (license number 26NR1329920) 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 1598114688.
Provider's Profile
| Full Name | Heinny Severini |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 255 W Spring Valley Ave Ste 101, Maywood, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heinny Severini graduated from nursing school in 2016
NPI Data:
- NPI Number: 1598114688
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173807609
- Enrollment ID: I20170301002089
Medical Identifiers
Medical identifiers for Heinny Severini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598114688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | AG0516012 (New Jersey) | Secondary |
| 208800000X | Urology | 26NR1329920 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summit Medical Group Pa | 5395642276 | 1247 |
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. Heinny Severini allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011 |
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| Entity Name | Garden State Urology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629231766
PECOS PAC ID: 7719052596
Enrollment ID: O20080813000217 |
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| Entity Name | Pan S Ko Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467887042
PECOS PAC ID: 5395971709
Enrollment ID: O20131113000917 |
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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. Heinny Severini 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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Heinny Severini, APN
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
Ph: (908) 273-4300 | Heinny Severini, APN
255 W Spring Valley Ave Ste 101,
Maywood, NJ 07607-1444
Ph: (201) 487-8866 |
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