Hetal Rathod, APN - Medicare Nurse Practitioner in Somerville, NJ

Hetal Rathod, APN is a medicare enrolled "Nurse Practitioner - Family" in Somerville, New Jersey. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Np Services Llc and her current practice location is 110 Rehill Ave, Somerville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 586-9035.

Hetal Rathod is licensed to practice in New Jersey (license number 26NJ01084600) 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 1952991176.

Contact Information

Hetal Rathod, APN
110 Rehill Ave,
Somerville, NJ 08876-2519
(732) 586-9035
Not Available

Map and Direction




Provider's Profile

Full NameHetal Rathod
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location110 Rehill Ave, Somerville, 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:
  • Hetal Rathod graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1952991176
  • Provider Enumeration Date: 01/21/2021
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921499245
  • Enrollment ID: I20211221002390

Medical Identifiers

Medical identifiers for Hetal Rathod such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952991176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01084600 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Personal Np Services Llc933545517941

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. Hetal Rathod allows following entities to bill medicare on her behalf.
Entity NamePersonal Np Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649658105
PECOS PAC ID: 9335455179
Enrollment ID: O20150825003750

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. Hetal Rathod 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
Hetal Rathod, APN
14 Comstock Ln,
Skillman, NJ 08558-2646

Ph: (512) 739-9595
Hetal Rathod, APN
110 Rehill Ave,
Somerville, NJ 08876-2519

Ph: (732) 586-9035

Reviews and Comments


Nurse Practitioner Nurses in Somerville, NJ

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Carol Robertiello, NURSE PRACTITIONER
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Mrs. Sherri Henry Suozzo, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 30 Rehill Ave, Suite 2500, Somerville, NJ 08876
Phone: 908-927-8700    Fax: 908-927-8706
Katherine Connolly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Rehill Ave, Somerville, NJ 08876
Phone: 908-685-2200    Fax: 732-923-2272

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.