Mrs Leigh Anne Buenvenida, APN - Medicare Nurse Practitioner in Toms River, NJ

Mrs Leigh Anne Buenvenida, APN is a medicare enrolled "Nurse Practitioner" in Toms River, New Jersey. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group Pa, Barron Emergency Physicians Llc and her current practice location is 970 Hooper Ave # 2, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 228-4146.

Mrs Leigh Anne Buenvenida is licensed to practice in New Jersey (license number 26NJ00663200) 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 1528570314.

Contact Information

Mrs Leigh Anne Buenvenida, APN
970 Hooper Ave # 2,
Toms River, NJ 08753-8319
(732) 228-4146
Not Available

Map and Direction




Provider's Profile

Full NameMrs Leigh Anne Buenvenida
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location970 Hooper Ave # 2, Toms River, 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:
  • Mrs Leigh Anne Buenvenida graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1528570314
  • Provider Enumeration Date: 11/02/2017
  • Last Update Date: 11/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981940962
  • Enrollment ID: I20190111001832

Medical Identifiers

Medical identifiers for Mrs Leigh Anne Buenvenida such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528570314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ00663200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Ocean Medical CenterManahawkin, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761247
Barron Emergency Physicians Llc882008378570

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. Mrs Leigh Anne Buenvenida allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameBarron Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790736940
PECOS PAC ID: 8820083785
Enrollment ID: O20040419001416
Entity NameThe Urgent Care Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912177908
PECOS PAC ID: 9638196777
Enrollment ID: O20051028000273

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. Mrs Leigh Anne Buenvenida 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
Mrs Leigh Anne Buenvenida, APN
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300
Mrs Leigh Anne Buenvenida, APN
970 Hooper Ave # 2,
Toms River, NJ 08753-8319

Ph: (732) 228-4146

Reviews and Comments


Nurse Practitioner Nurses in Toms River, NJ

Eleanor C Dominguez-curatolo, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Water St, Toms River, NJ 08753
Phone: 732-731-6218    Fax: 732-244-8482
Grant Marshall Myers, PMHNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 509 Main Street, Bldg A, 2nd Floor, Suite B, Toms River, NJ 08753
Phone: 732-301-6904    Fax: 732-605-5771
Jennifer Manzo, APN
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Medicare: Medicare Enrolled
Practice Location: 1251 Rte 37 W, Toms River, NJ 08755
Phone: 732-797-3824    Fax: 732-797-3812
Mrs. Lalaine Genuino, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 803 Main St, Toms River, NJ 08753
Phone: 732-557-0100    Fax: 732-557-0128
Sarah B Schwartz, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 99 Route 37 W, Toms River, NJ 08755
Phone: 732-557-8283    
Andrea D Lynn, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Stockton Dr, Toms River, NJ 08755
Phone: 732-363-6655    
Kelly St. Marie, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2360 Lakewood Rd, Toms River, NJ 08755
Phone: 732-719-7788    

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).

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