Dr Andrew Jon Mcnulty, PSYD is a medicare enrolled "Psychologist" provider in South Amboy, New Jersey. His current practice location is
59 Raritan Reach Rd, South Amboy, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 600-0044.
Dr Andrew Jon Mcnulty is licensed to practice in New Jersey (license number 355100455500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124278718.
Healthcare Provider's Profile
Full Name | Dr Andrew Jon Mcnulty |
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Gender | Male |
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Speciality | Psychologist |
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Location | 59 Raritan Reach Rd, South Amboy, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124278718
- Provider Enumeration Date: 09/19/2008
- Last Update Date: 09/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 2062561285
- Enrollment ID: I20090519000271
Medical Identifiers
Medical identifiers for Dr Andrew Jon Mcnulty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124278718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 355100455500 (New Jersey) | Primary |
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. Dr Andrew Jon Mcnulty allows following entities to bill medicare on his behalf.
Entity Name | Challenges Psychological Services, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114968427 PECOS PAC ID: 1951391242 Enrollment ID: O20040518000151 |
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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. Dr Andrew Jon Mcnulty 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 |
Dr Andrew Jon Mcnulty, PSYD P.o. Box 212, South Amboy, NJ 08879 Ph: (201) 600-0044 | Dr Andrew Jon Mcnulty, PSYD 59 Raritan Reach Rd, South Amboy, NJ 08879 Ph: (201) 600-0044 |
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