MRS. ANDREA MATHEWS RAMIREZ PA-C
NPI 1003015108
Physician Assistant in Morristown, NJ

NPI Status: Active since July 17, 2007

Contact Information

435 SOUTH ST STE 220A
MORRISTOWN, NJ
ZIP 07960
Phone: (973) 971-4222
Fax: (973) 290-7050

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  • Individual
  • Female
  • Years of Experience 17
  • Physician Assistant
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ANDREA RAMIREZ

Andrea Ramirez is a primary care provider established in Morristown, New Jersey and her medical specialization is Physician Assistant with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1003015108 assigned on July 2007. The practitioner's primary taxonomy code is 363A00000X with license number 5101 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1003015108
Provider Name
MRS. ANDREA MATHEWS RAMIREZ PA-C
Gender
Female
Entity Type
Individual
Location Address
435 SOUTH ST STE 220A MORRISTOWN, NJ 07960
Location Phone
(973) 971-4222
Location Fax
(973) 290-7050
Mailing Address
1102 W WAUGH ST DALTON, GA 30720
Mailing Phone
(706) 277-2321
Mailing Fax
(973) 290-7050
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
07-17-2007
Last Update Date
07-11-2022
Code Navigator

A primary care provider (PCP) like Andrea Ramirez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Andrea Ramirez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $20.64 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5101
License State
GA
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Location Map

Secondary Locations

  • 100 US Highway 46 E Ste 204
    Mountain Lakes, NJ 07046
    (973) 917-3200

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

25MP00366500 (NJ)

PECOS Enrollment and Medicare Participation Status

Andrea Ramirez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7810255403

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220727000987

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 07960 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $101.4
  • Minimum New Patient Price $66.45
  • Maximum New Patient Price $198.48
  • Average New Patient Copayment $25.35
  • Minimum New Patient Copayment $16.61
  • Maximum New Patient Copayment $49.62

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $82.58
  • Minimum Established Patient Price $21.27
  • Maximum Established Patient Price $162.58
  • Average Established Patient Copayment $20.64
  • Minimum Established Patient Copayment $5.31
  • Maximum Established Patient Copayment $40.64

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrea Ramirez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HAMILTON MEDICAL CENTER1200 MEMORIAL DRIVE
DALTON, GA 30720
(706) 272-6105Acute Care Hospitals

Reviews for MRS. ANDREA MATHEWS RAMIREZ PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 1 + 0 + 24 = 32
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 32 = 88

The NPI number 1003015108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811949076 CHRISTOPHER P ZIPP D.O.
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1568409274DR. MARYLIN PIERRE-LOUIS M.D.
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1033489802 DONNA MARIE KAMINSKI DO
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1508384959 ALENA MARIE LYTWYN NP-C
Individual
Nurse Practitioner (Adult Health)435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1427444256 ORA DOMOVICH M.D.
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1780019448DR. NALINI PRIYA LAM M.D
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1902021173DR. KRISTEN ANNE WALSH M.D.
Individual
Pediatrics435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1861923906 BERNADETTE MARIE BIBBER DO
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1487385621 PAMELA A MOLINA PA-C
Individual
Physician Assistant435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1770011439 ARIE RENNERT MD
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1902481948 KAILEY NAPOLITANO RDN
Individual
Dietitian, Registered435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1083242796 LINDA S HONG DO
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1649775958 CHRISTINA R PINDAR MD
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1447506175DR. ARTHI SENRA M.D.
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222
1861419830DR. MAHALAKSHMI SESHADRI MD
Individual
Family Medicine435 SOUTH ST STE 220A
MORRISTOWN, NJ 07960
(973) 971-4222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015108, enumerated in the NPI registry as an "individual" on July 17, 2007

The provider is located at 435 South St Ste 220a Morristown, Nj 07960 and the phone number is (973) 971-4222

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 17 years of experience.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $82.58 and an average copayment of 20.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): HAMILTON MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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