Mr Douglas Downing D'orio, MSN, APN C, FNP C - Medicare Nurse Practitioner in Hamilton, NJ

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Mr Douglas Downing D'orio, MSN, APN C, FNP C is a medicare enrolled "Nurse Practitioner - Family" in Hamilton, New Jersey. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Anesu Restorative Care Llc and his current practice location is 1225 Whitehorse Mercerville Rd Ste 202, Hamilton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 581-0002.

Mr Douglas Downing D'orio is licensed to practice in New Jersey (license number 26NJ00066600) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063455004.

Contact Information

Mr Douglas Downing D'orio, MSN, APN C, FNP C
1225 Whitehorse Mercerville Rd Ste 202,
Hamilton, NJ 08619-3882
(609) 581-0002
(609) 581-0050

Map and Direction




Provider's Profile

Full NameMr Douglas Downing D'orio
GenderMale
SpecialityNurse Practitioner
Experience20 Years
Location1225 Whitehorse Mercerville Rd Ste 202, Hamilton, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Douglas Downing D'orio graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1063455004
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 12/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2567569098
  • Enrollment ID: I20070517000697

Medical Identifiers

Medical identifiers for Mr Douglas Downing D'orio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063455004NPI-NPPES
11689336OtherCAQH
0122637MedicaidNJ
318663OtherAMERIGROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP009079 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family R142342 (Maryland)Secondary
363LF0000XNurse Practitioner - Family 714376 (Texas)Secondary
363LF0000XNurse Practitioner - Family 26NJ00066600 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesu Restorative Care Llc14567423112

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 Douglas Downing D'orio allows following entities to bill medicare on his behalf.
Entity NameNew Jersey Pain And Neuropathy Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215526033
PECOS PAC ID: 9032525530
Enrollment ID: O20210308002570
Entity NameAnesu Restorative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053073585
PECOS PAC ID: 1456742311
Enrollment ID: O20220103001849

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 Douglas Downing D'orio 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
Mr Douglas Downing D'orio, MSN, APN C, FNP C
3941 Amberton Way,
Doylestown, PA 18902-1243

Ph: (609) 202-6156		Mr Douglas Downing D'orio, MSN, APN C, FNP C
1225 Whitehorse Mercerville Rd Ste 202,
Hamilton, NJ 08619-3882

Ph: (609) 581-0002

Reviews and Comments


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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.