- Medicare in Vauxhall, NJ

is a medicare enrolled "Ophthalmology" provider in Vauxhall, New Jersey. Their current practice location is 2952 Vauxhall Rd, Vauxhall, New Jersey. You can reach out to their office (for appointments etc.) via phone at (908) 458-8333.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164578894.

Contact Information

2952 Vauxhall Rd,
Vauxhall, NJ 07088-1246
(908) 458-8333
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location2952 Vauxhall Rd, Vauxhall, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164578894
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961509161
  • Enrollment ID: O20070523000337

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164578894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary
207WX0107XOphthalmology - Retina Specialist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRobert B Penne
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215936380
PECOS PAC ID: 0547167371
Enrollment ID: I20031218000360
Provider NamePaul L Sonenblum
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477532661
PECOS PAC ID: 3476449497
Enrollment ID: I20040226000279
Provider NameHarold M Wheatley
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154394963
PECOS PAC ID: 0345234498
Enrollment ID: I20040412001088
Provider NameAdria Burrows
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841298932
PECOS PAC ID: 7012909682
Enrollment ID: I20040421000916
Provider NameWilliam H Constad
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437267630
PECOS PAC ID: 6800882960
Enrollment ID: I20040423000054
Provider NameJennine M Lutz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568411270
PECOS PAC ID: 8729077615
Enrollment ID: I20040506001465
Provider NameJonathan L Prenner
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245203066
PECOS PAC ID: 1759365588
Enrollment ID: I20040617000825
Provider NameKekul Bharat Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1467493718
PECOS PAC ID: 9133108673
Enrollment ID: I20041001000248
Provider NameStephen H Uretsky
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235188798
PECOS PAC ID: 2264498401
Enrollment ID: I20041214000399
Provider NameDrew Anthon Ricchiuti
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1801886874
PECOS PAC ID: 7012968829
Enrollment ID: I20050209000033
Provider NameMargaret M Ritterbusch
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215934302
PECOS PAC ID: 8123074523
Enrollment ID: I20050329000924
Provider NamePaul Liva
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245293877
PECOS PAC ID: 3375580483
Enrollment ID: I20050411000753
Provider NameGari D Carabin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538121355
PECOS PAC ID: 6305884685
Enrollment ID: I20050418001048
Provider NameColleen M Coleman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215936836
PECOS PAC ID: 5597739813
Enrollment ID: I20050810000118
Provider NameJeffrey S Brottman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699855239
PECOS PAC ID: 9830120419
Enrollment ID: I20050823000965
Provider NameEric S Friedman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538132337
PECOS PAC ID: 1052342045
Enrollment ID: I20050830000318
Provider NameMiriam R Brown
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225035306
PECOS PAC ID: 8022041854
Enrollment ID: I20050913000741
Provider NameStuart W Noorily
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1205844453
PECOS PAC ID: 1557394392
Enrollment ID: I20050913000856
Provider NameJoseph P Shovlin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1861450710
PECOS PAC ID: 8628001468
Enrollment ID: I20050913000871
Provider NameTrong D Tran
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376543157
PECOS PAC ID: 8022006436
Enrollment ID: I20060113000031
Provider NameDonald A Greenfield
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1477545481
PECOS PAC ID: 7315960598
Enrollment ID: I20060113000500
Provider NameArthur L Siegel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225034325
PECOS PAC ID: 8123914447
Enrollment ID: I20060307000018
Provider NameJacob H Chung
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245271717
PECOS PAC ID: 1052316643
Enrollment ID: I20061004000135
Provider NameLeonard Feiner
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841208014
PECOS PAC ID: 2062476914
Enrollment ID: I20070409000156
Provider NameDaniel Roth
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538132352
PECOS PAC ID: 0840399085
Enrollment ID: I20070628000375
Provider NameBruce J Keyser
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1558334359
PECOS PAC ID: 4385743533
Enrollment ID: I20070628000388
Provider NameSteven A Madreperla
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1013925254
PECOS PAC ID: 3072616986
Enrollment ID: I20070628000403
Provider NameDennis C Miller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528076478
PECOS PAC ID: 1052490109
Enrollment ID: I20080501000038
Provider NameIlya M Rozenbaum
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831240704
PECOS PAC ID: 9638279938
Enrollment ID: I20080812000330
Provider NamePriya V Desai
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1750414157
PECOS PAC ID: 6002915394
Enrollment ID: I20081209000217
Provider NameHoward F Fine
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1295810059
PECOS PAC ID: 7719996339
Enrollment ID: I20090109000136
Provider NameRudolph Wagner
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1366484222
PECOS PAC ID: 7618031741
Enrollment ID: I20090204000063
Provider NameLawrence J Mroz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477595098
PECOS PAC ID: 3072649284
Enrollment ID: I20100326000746
Provider NameSydney L Tyson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1639113665
PECOS PAC ID: 1456310176
Enrollment ID: I20100414000068
Provider NameSteven Bachinsky
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265477426
PECOS PAC ID: 8820125289
Enrollment ID: I20100416000564
Provider NameJohn R. Stabile
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225042278
PECOS PAC ID: 7416903802
Enrollment ID: I20100419000650
Provider NameJoel Confino
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1710073069
PECOS PAC ID: 6002880853
Enrollment ID: I20100429000502
Provider NameMartin S Schneider
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063592574
PECOS PAC ID: 4688731417
Enrollment ID: I20100518000397
Provider NameElliot S Grand
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1184704744
PECOS PAC ID: 9234296062
Enrollment ID: I20100519000354
Provider NameElena Ng
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1730269218
PECOS PAC ID: 1052478880
Enrollment ID: I20100524000078
Provider NameHina P Zaidi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750497657
PECOS PAC ID: 9830191725
Enrollment ID: I20100713000434
Provider NameJames G Nachbar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578560629
PECOS PAC ID: 2365410651
Enrollment ID: I20100729000117
Provider NameSander M Cohen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1649277351
PECOS PAC ID: 0446228738
Enrollment ID: I20100729000232
Provider NameMichael Colucciello
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215934146
PECOS PAC ID: 2264400555
Enrollment ID: I20100729000776
Provider NameAmy R. Wexler
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306843404
PECOS PAC ID: 6800864190
Enrollment ID: I20100729000872
Provider NamePatricia Md Cucci
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538135231
PECOS PAC ID: 9931391216
Enrollment ID: I20101005000520
Provider NameScott Walsman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215172994
PECOS PAC ID: 7315099330
Enrollment ID: I20101122000040
Provider NameDarmakusuma Ie
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1881690956
PECOS PAC ID: 1557330156
Enrollment ID: I20110407000796
Provider NameDavid K Lee
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225359847
PECOS PAC ID: 0143344044
Enrollment ID: I20110822000287
Provider NamePatricia A Burke
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952410680
PECOS PAC ID: 7618142860
Enrollment ID: I20111216000157
Provider NameCandice B Tolud
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508120957
PECOS PAC ID: 7416103486
Enrollment ID: I20120807000269
Provider NameMichael R Trottini
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871787028
PECOS PAC ID: 7012097199
Enrollment ID: I20130218000462
Provider NameReena A. Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730341488
PECOS PAC ID: 4789856766
Enrollment ID: I20130522000105
Provider NameSumit Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1346439213
PECOS PAC ID: 0547310500
Enrollment ID: I20130614000565
Provider NameDavid Yhoshin Kim
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972763530
PECOS PAC ID: 2769651066
Enrollment ID: I20130720000267
Provider NameVinod Babu Voleti
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245452804
PECOS PAC ID: 3870771538
Enrollment ID: I20130720000279
Provider NameSebastian P Lesniak
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417252776
PECOS PAC ID: 5890911762
Enrollment ID: I20140918001924
Provider NameNirupa Chandrasekaran Cuttler
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790097194
PECOS PAC ID: 1759512767
Enrollment ID: I20140924002027
Provider NameRitu N Rai
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649312430
PECOS PAC ID: 0941453047
Enrollment ID: I20150513001663
Provider NamePaul Hahn
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1043360704
PECOS PAC ID: 4880725027
Enrollment ID: I20160201000865
Provider NameNicholas Chinskey
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1174847941
PECOS PAC ID: 0446474357
Enrollment ID: I20160603000784
Provider NameVincent Yih Ho
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720390891
PECOS PAC ID: 0749404796
Enrollment ID: I20160603001021
Provider NameDimosthenis Mantopoulos
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1679816326
PECOS PAC ID: 3971745746
Enrollment ID: I20160718000590
Provider NameJanine N Disanti
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215486147
PECOS PAC ID: 6002199023
Enrollment ID: I20170316000208
Provider NameGrace K Woo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336204023
PECOS PAC ID: 1153228283
Enrollment ID: I20170412001028
Provider NameDipal P Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356607576
PECOS PAC ID: 0042501751
Enrollment ID: I20170801000857
Provider NameJennifer Krawitz
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1336466481
PECOS PAC ID: 2365667680
Enrollment ID: I20180606002049
Provider NameRachna D Thosani
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295227296
PECOS PAC ID: 4880949866
Enrollment ID: I20180614002176
Provider NameNneka Offor Brooks
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1467614057
PECOS PAC ID: 8022265966
Enrollment ID: I20181030002359
Provider NameElizabeth Tegins
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063674315
PECOS PAC ID: 6901061829
Enrollment ID: I20190801002736
Provider NameMarisa Lau
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396180170
PECOS PAC ID: 4587953369
Enrollment ID: I20190829000308
Provider NameMichael G Miller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447742630
PECOS PAC ID: 0840625786
Enrollment ID: I20200122002868
Provider NameTristan Barrueco
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396237335
PECOS PAC ID: 7012346695
Enrollment ID: I20200402000541
Provider NameLuis Alonso Gonzalez Gonzalez
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962816843
PECOS PAC ID: 9931401171
Enrollment ID: I20200527000334
Provider NameAlexander D Port
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841601622
PECOS PAC ID: 1254682172
Enrollment ID: I20200626000744
Provider NameGregory Daniel Kramer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1548642234
PECOS PAC ID: 6507105251
Enrollment ID: I20200804001623
Provider NameHarris Chauhdry Sultan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1669890570
PECOS PAC ID: 4981966322
Enrollment ID: I20200831001697
Provider NameAkosua Nti
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437569936
PECOS PAC ID: 8921355629
Enrollment ID: I20200831001823
Provider NameRishabh C Date
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1295154938
PECOS PAC ID: 7618224668
Enrollment ID: I20200902002298
Provider NameRebecca H Landolfi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841606290
PECOS PAC ID: 7810307808
Enrollment ID: I20201103000479
Provider NameNoah B Saipe
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1902105141
PECOS PAC ID: 4486887072
Enrollment ID: I20201222003024
Provider NameEsther S Lee
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194315176
PECOS PAC ID: 5799184859
Enrollment ID: I20210524000970
Provider NameLinh Chieu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255954673
PECOS PAC ID: 4486064482
Enrollment ID: I20210615001043
Provider NameJonathan P Greenberg
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992189500
PECOS PAC ID: 8628302247
Enrollment ID: I20210810004220
Provider NameAnton Kolomeyer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245573864
PECOS PAC ID: 2365733441
Enrollment ID: I20220602000581
Provider NameEkta Patel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1568992477
PECOS PAC ID: 6800132812
Enrollment ID: I20220615000093
Provider NameMarlene Wang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578918272
PECOS PAC ID: 4880931450
Enrollment ID: I20220616000111
Provider NameTamara Lenis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1982947842
PECOS PAC ID: 8426483538
Enrollment ID: I20220616000122
Provider NameEvan Christopher Chang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1457856759
PECOS PAC ID: 8820477110
Enrollment ID: I20220616000556
Provider NameJuliana Gildener-leapman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083970420
PECOS PAC ID: 8426437401
Enrollment ID: I20220622000919
Provider NameBazla Sukhera
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184354417
PECOS PAC ID: 2062892508
Enrollment ID: I20220630001548
Provider NameMia Decapua
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659044303
PECOS PAC ID: 2668855214
Enrollment ID: I20220816000488
Provider NameSarah Genevieve Bonaffini
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1457892119
PECOS PAC ID: 4587067830
Enrollment ID: I20220818000889
Provider NameMitali Sanghani
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659787489
PECOS PAC ID: 1456665132
Enrollment ID: I20230112000521
Provider NameCesar Alfaro Cruz
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740712637
PECOS PAC ID: 0648670216
Enrollment ID: I20230426000667
Provider NameVishal Patel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1457845919
PECOS PAC ID: 7214367705
Enrollment ID: I20230519000407
Provider NameMichael Park
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831611177
PECOS PAC ID: 2769730977
Enrollment ID: I20230531001001
Provider NameRussell Marchese
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215593793
PECOS PAC ID: 8022344779
Enrollment ID: I20230720000257
Provider NameAllison F Clarke
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548942626
PECOS PAC ID: 6709240484
Enrollment ID: I20230913003508
Provider NameShravan Savant
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932605250
PECOS PAC ID: 7416288212
Enrollment ID: I20240430003525
Provider NameElizabeth Roll
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154882785
PECOS PAC ID: 9638400641
Enrollment ID: I20240430003785
Provider NameDavid J Doobin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1336646777
PECOS PAC ID: 0648516807
Enrollment ID: I20240501002046
Provider NameAdil Ahmed
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003372715
PECOS PAC ID: 3779949094
Enrollment ID: I20240509002241
Provider NameGiselle Lynch
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1114488111
PECOS PAC ID: 3072922293
Enrollment ID: I20240516000578
Provider NameAndrew Ines
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1174083729
PECOS PAC ID: 0547629909
Enrollment ID: I20240531001541
Provider NameBrandon Garces
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295413979
PECOS PAC ID: 3476914391
Enrollment ID: I20240615000244
Provider NameJennie Stasio
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295583912
PECOS PAC ID: 6305389180
Enrollment ID: I20240621000155
Provider NameStacie Morgan Beene
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922856145
PECOS PAC ID: 4981148467
Enrollment ID: I20240626001880
Provider NameVikram Ponnusamy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093335937
PECOS PAC ID: 0648601070
Enrollment ID: I20240710001726

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. 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

420 Mountain Ave Fl 4,
New Providence, NJ 07974-2736

Ph: (908) 458-8333

2952 Vauxhall Rd,
Vauxhall, NJ 07088-1246

Ph: (908) 458-8333

Reviews and Comments



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.