![]() The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. Who must obtain NPI? : All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations, suppliers of durable medical equipment, pharmacies) must obtain an NPI. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers. Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). There are two categories of health care providers for NPI enumeration purposes. Where NPI should be used? : The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act). The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. ![]() This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). What is a NPI Number? : The National Provider Identifier (NPI) is a unique identification number for covered health care providers. ![]() 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. 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. Provider Business Mailing Address Details:Ī 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. Provider Business Practice Location Address Details: An individual provider can have more than one PTAN number but only one NPI Number.ĮRICKSON HEALTH MEDICAL GROUP OF NEW JERSEY PC A PTAN is a Medicare-only number issued to providers by MACs upon enrollment to Medicare - it is also sometimes called Medicare ID or Medicare PIN. Medicare UPIN has been replaced by NPI and is no longer used. There are many medicare related identifications related to medicare providers. Yes - The physician accepts the Medicare-approved amount you will not be billed for any more than the Medicare deductible and coinsurance. Janet L Mahan participate in Medicare program. Janet L Mahan graduated from Howard University College Of Medicine in 1985. You can also correspond with Janet L Mahan through mail at her mailing address at 5525 Research Park Dr Fl 4,, Baltimore, Maryland - 21228-4873 (mailing address contact number - 73). ![]() Her current practice location address is 3000 Essex Rd,, Tinton Falls, New Jersey and she can be reached out via phone at 73 and via fax at 73. The NPI Number for Janet L Mahan is 1780651448 and she holds a License No. She practices in Tinton Falls, New Jersey and has the professional credentials of MD. Janet L Mahan is a physician based out of Tinton Falls, New Jersey and her medical specialization is Internal Medicine.
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