Jennifer Beredo, PT - Medicare Physical Medicine & Rehabilitation in Bayonne, NJ

Jennifer Beredo, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bayonne, New Jersey. Her current practice location is 564 Broadway Ste 2a, Bayonne, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 339-8889.

Jennifer Beredo is licensed to practice in New Jersey (license number RPT40QA01057900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467536219.

Contact Information

Jennifer Beredo, PT
564 Broadway Ste 2a,
Bayonne, NJ 07002-3825
(201) 339-8889
Not Available



Physician's Profile

Full NameJennifer Beredo
GenderFemale
SpecialityPhysical Medicine & Rehabilitation
Location564 Broadway Ste 2a, Bayonne, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467536219
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7012013097
  • Enrollment ID: I20070508000533

Medical Identifiers

Medical identifiers for Jennifer Beredo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467536219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation RPT40QA01057900 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Beredo allows following entities to bill medicare on her behalf.
Entity NameBeredo Physical Therapy And Wellness, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457780421
PECOS PAC ID: 7416184288
Enrollment ID: O20131227000012

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Entity NameMobile Therapy Services Inc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1326495615
PECOS PAC ID: 6305130840
Enrollment ID: O20160808000021

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Beredo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Beredo, PT
564 Broadway Ste 2a,
Bayonne, NJ 07002-3825

Ph: (201) 339-8889
Jennifer Beredo, PT
564 Broadway Ste 2a,
Bayonne, NJ 07002-3825

Ph: (201) 339-8889

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Physical Medicine & Rehabilitation Doctors in Bayonne, NJ

Yasmeen Chaudhary, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 398 Avenue E, Bayonne, NJ 07002
Phone: 201-455-2250    
Nancy Amen, PTA
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 19 E 27th St, Bayonne, NJ 07002
Phone: 201-436-0033    Fax: 201-436-0079

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