MARTINE MARIEALICE LOUIS MD NPI 1013162858

Surgery in Union, NJ

NPI 1013162858 Individual Female Years of Experience 3 Surgery PECOS Enrolled Accepts Medicare Approved Payment

About MARTINE LOUIS

Martine Louis is a provider established in Union, New Jersey and her medical specialization is surgery with more than 3 years of experience. The NPI number of Martine Louis is 1013162858 and was assigned on November 2008. The practitioner's primary taxonomy code is 208600000X with license number 25MA08481100 (NJ). The provider is registered as an individual and her NPI record was last updated 13 years ago.

A surgeon like Martine Mariealice Louis Md treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Martine Louis is enrolled in PECOS and is eligible to order or refer healthcare 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

Martine Louis is registered with Medicare and accepts claims assignment, this 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 copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Flushing Hospital Medical Center.

NPI

1013162858

Provider Name MARTINE MARIEALICE LOUIS MD
Provider Location Address700 RAHWAY AVE UNION, NJ 07083
Provider Mailing Address367 EMERSON PL VALLEY STREAM, NY 11580
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2019
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-20-2008
Last Update Date11-20-2008


Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.25MA08481100
License StateNJ
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

MARTINE MARIEALICE LOUIS MD
700 RAHWAY AVE
UNION, NJ
ZIP 07083
Phone: (908) 688-8861

Get Directions


Mailing Address

MARTINE MARIEALICE LOUIS MD
367 EMERSON PL
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 792-6609



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4981893666
PECOS Enrollment IDI20110111000804
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 106Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Martine Louis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
FLUSHING HOSPITAL MEDICAL CENTER45TH AVENUE AND PARSONS BOULEVARD
FLUSHING, NY 11355
(718) 670-5000Acute Care Hospitals330193

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487858601 LAUREN E BEASLEY
Individual
Physical Therapist700 RAHWAY AVE
UNION, NJ 07083
(908) 688-1991
1053570051MS. ELISSA ANNE BETAR R.D.
Individual
Dietitian, Registered700 RAHWAY AVE
UNION, NJ 07083
(908) 378-1779
1689813362 KELLY ANNE LEASE PT
Individual
Physical Therapist700 RAHWAY AVE
UNION, NJ 07083
(908) 688-1991
1992024095LAPAROSCOPIC EDGE, PC
Organization
Surgery700 RAHWAY AVE
UNION, NJ 07083
(908) 481-1270
1093028987 STEPHANIE CALEFATI
Individual
Physical Therapist700 RAHWAY AVE
UNION, NJ 07083
(908) 688-1991
1376836148ADVANCED SPINE CARE PHYSICAL THERAPY
Organization
Specialist700 RAHWAY AVE 1ST FLOOR
UNION, NJ 07083
(732) 688-1991
1073513545DR. MARVIN ELLIOTT FRIEDLANDER M.D.
Individual
Neurological Surgery700 RAHWAY AVE
UNION, NJ 07083
(908) 688-1999
1235139700DR. PAUL KEITH RATZKER M.D.
Individual
Neurological Surgery700 RAHWAY AVE
UNION, NJ 07083
(908) 688-1999
1740280148DR. DOUGLAS DAMIEN BRADLEY M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)700 RAHWAY AVE
UNION, NJ 07083
(908) 688-1999
1043475643DR. GLENN JOSEPH FORRESTER MD
Individual
Surgery700 RAHWAY AVE
UNION, NJ 07083
(908) 378-1779
1447878293SPINE AND PAIN CONSULTANT, PLLC
Organization
Anesthesiology (Pain Medicine)700 RAHWAY AVE
UNION, NJ 07083
(718) 667-3577
1609494434SPECIALTY ANESTHESIA, PLLC
Organization
Anesthesiology (Pain Medicine)700 RAHWAY AVE
UNION, NJ 07083
(718) 667-3577
1295848141THE BACK INSTITUTE
Organization
Neurological Surgery700 RAHWAY AVE
UNION, NJ 07083
(908) 688-1999

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.