Internal Medicine In Plainfield New Jersey
NPI list of 23 internal medicine registered providers with a business address in Plainfield, NJ of which 5 are registered as organizations and 18 as individuals. A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NPI | Name | Type | Taxonomy | Address | Medicare | PECOS |
---|---|---|---|---|---|---|
1134197346 | SALEEM HUSAIN | Individual | Internal Medicine (Cardiovascular Disease) | 1314 PARK AVE SUITE 9 PLAINFIELD, NJ 07060 (908) 222-8970 | Accepts Medicare | YES |
1134305394 | GASTROENTEROLOGY ASSOCIATES,PA | Organization | Internal Medicine | 1165 PARK AVE PLAINFIELD, NJ 07060 (908) 754-2992 | Non-Participating Provider | NO |
1184826661 | EVA BESSERMAN | Individual | Internal Medicine (Critical Care Medicine) | MUHLENBERG REGIONAL MEDICAL CENTER PARK AVE. & RANDOLPH RD. PLAINFIELD, NJ 07061 (908) 668-2228 | Non-Participating Provider | NO |
1194735969 | HARSHA TRIPATHI | Individual | Internal Medicine | 1700 MYRTLE AVE PLAINFIELD, NJ 07063 (908) 753-6401 | Accepts Medicare | YES |
1194814624 | DAVID ALAN GOLDENBERG | Individual | Internal Medicine (Gastroenterology) | 1165 PARK AVE PLAINFIELD, NJ 07060 (908) 754-2992 | Non-Participating Provider | NO |
1205845039 | SUSAN WALSH | Individual | Internal Medicine | 1700 MYRTLE AVE PLAINFIELD, NJ 07063 (908) 753-6401 | Non-Participating Provider | NO |
1235482803 | SPINE AND HEALTH CARE CENTER OF THE PLAINFIELDS | Organization | Internal Medicine | 212 PARK AVE PLAINFIELD, NJ 07060 (908) 322-8300 | Non-Participating Provider | NO |
1275543027 | PADMAJA ISUKAPALLI | Individual | Internal Medicine | 1024 PARK AVE SUITE 6 A PLAINFIELD, NJ 07060 (908) 222-8400 | Accepts Medicare | YES |
1326137886 | ALLAN BARRY COHEN | Individual | Internal Medicine (Gastroenterology) | 1165 PARK AVE PLAINFIELD, NJ 07060 (908) 754-2992 | Non-Participating Provider | YES |
1376545574 | JANET C LIN | Individual | Internal Medicine (Infectious Disease) | MUHLENBERG REGIONAL MEDICAL CENTER PARK AVE AND RANDOLPH RD PLAINFIELD, NJ 07061 (908) 668-2985 | Accepts Medicare | YES |
1386688968 | KAMALAKAR VANAM | Individual | Internal Medicine | 1200 PARK AVE PLAINFIELD, NJ 07061 (908) 668-2200 | Accepts Medicare | YES |
1467408047 | JOYCE NKWONTA | Individual | Internal Medicine | 1314 PARK AVE STE 1 PLAINFIELD, NJ 07060 (908) 561-9733 | Accepts Medicare | YES |
1487749420 | EDWARD A. ALDER | Individual | Internal Medicine | 1177 PARK AVE PLAINFIELD, NJ 07060 (908) 222-0600 | Non-Participating Provider | YES |
1518982388 | SALEEM HUSAIN MD PC | Organization | Internal Medicine (Cardiovascular Disease) | 1314 PARK AVE SUITE 9 PLAINFIELD, NJ 07060 (908) 222-8970 | Non-Participating Provider | NO |
1538238852 | MUHLENBERG HEART GROUP | Organization | Internal Medicine (Cardiovascular Disease) | PARK AVE & RANDOLPH RD PLAINFIELD, NJ 07060 (908) 668-2000 | Non-Participating Provider | NO |
1619036738 | GEORGE ANDREW HERMANN | Individual | Internal Medicine | 212 PARK AVE SPINE AND HEALTHCARE CENTER OF THE PLAINFIELDS PLAINFIELD, NJ 07060 (908) 322-8300 | Accepts Medicare | YES |
1639230600 | JOYCE NKWONTA MD. PC. | Organization | Internal Medicine | 1314 PARK AVE SUITE 1 PLAINFIELD, NJ 07060 (908) 561-9733 | Non-Participating Provider | NO |
1770675308 | FRANCIS LEE GRIFFIN | Individual | Internal Medicine | PARK AVE. & RANDOLPH RD. DEPT. OF MED ED - MUHLENBERG HOSPITAL PLAINFIELD, NJ 07061 (908) 668-2030 | Non-Participating Provider | NO |
1801019971 | SHAHEDA ALI | Individual | Internal Medicine | 1700 MYRTLE AVE PLAINFIELD, NJ 07063 (908) 753-6401 | Non-Participating Provider | YES |
1821286006 | JOHNNIE A LEE | Individual | Internal Medicine | 1070 HILLSIDE AVE PLAINFIELD, NJ 07060 (203) 644-0323 | Non-Participating Provider | NO |
1881968261 | GENEVIEVE NWIGWE | Individual | Internal Medicine | 1700 MYRTLE AVE PLAINFIELD, NJ 07063 (908) 753-6401 | Non-Participating Provider | YES |
1922313907 | EMAD ADLY FAKHOURY BARSOUM | Individual | Internal Medicine (Cardiovascular Disease) | 1314 PARK AVE STE 9 PLAINFIELD, NJ 07060 (908) 222-8970 | Accepts Medicare | YES |
1932304524 | ROBERT BAYLY | Individual | Internal Medicine (Critical Care Medicine) | PARK AVE. & RANDOLPH RD. PLAINFIELD, NJ 07061 (908) 668-2985 | Non-Participating Provider | NO |
Medicare Participation
- Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
- Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
- Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.
What is PECOS?
PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.