Specialist In Plainfield New Jersey

NPI list of 9 specialist registered providers with a business address in Plainfield, NJ of which 5 are registered as organizations and 4 as individuals. An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

NPI Name Type Taxonomy Address Medicare PECOS
1053563304PLAINFIELD PEDIATRICS PAOrganizationSpecialist1024 PARK AVE
PLAINFIELD, NJ 07060
(908) 755-7773
Non-Participating ProviderNO
1114229598OPHELIA RACHELL CHILESIndividualSpecialist767 KENSINGTON AVE
PLAINFIELD, NJ 07060
(973) 941-1123
Non-Participating ProviderNO
1235172982GERARDO H SALAZARIndividualSpecialist1200 PARK AVE AND RANDOLPH ROAD DEPT OF PATHOLOGY
PLAINFIELD, NJ 07061
(908) 668-2270
Non-Participating ProviderNO
1396923223ASSOCIATED PEDIATRICS LLC
ASSOCIATED PEDIATRICS LLC
OrganizationSpecialist203 W 9TH ST
PLAINFIELD, NJ 07060
(908) 756-5550
Non-Participating ProviderNO
1194120618FAITH MEDICAL AND HEALTH CARE
NONE
OrganizationSpecialist400 W FRONT ST
PLAINFIELD, NJ 07060
(908) 822-9700
Non-Participating ProviderNO
1366480717HEMATOLOGY-ONCOLOGY ASSOCIATES, P.A.OrganizationSpecialist1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 754-0400
Non-Participating ProviderNO
1700833092CHARLES ALLEN LEFFIndividualSpecialist1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 754-0400
Non-Participating ProviderNO
1861669749HENRIETTA IFEOMA OBIDIGBOIndividualSpecialist944 CUSHING PL
PLAINFIELD, NJ 07062
(973) 216-9071
Maybe Accepts MedicareYES
1689898306MUHLENBERG REGIONAL MEDICAL CTR
BARIATRIC CENTER AT MRMC
OrganizationSpecialistPARK AVE AND RANDOLPH RD
PLAINFIELD, NJ 07061
(732) 632-1571
Non-Participating ProviderNO

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.