Keith Gresham, MD - Medicare Obstetrics/gynecology in Englewood, NJ

Keith Gresham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Englewood, New Jersey. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is 177 N Dean St, Suite 208, Englewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 569-0200.

Keith Gresham is licensed to practice in New Jersey (license number MA49464) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063599215.

Contact Information

Keith Gresham, MD
177 N Dean St, Suite 208,
Englewood, NJ 07631-2533
(201) 569-0200
(201) 569-8287



Physician's Profile

Full NameKeith Gresham
GenderMale
SpecialityObstetrics/gynecology
Experience42 Years
Location177 N Dean St, Englewood, New Jersey
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith Gresham graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1063599215
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4082778543
  • Enrollment ID: I20090610000656

Medical Identifiers

Medical identifiers for Keith Gresham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063599215NPI-NPPES
3619702MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MA49464 (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. Keith Gresham allows following entities to bill medicare on his behalf.
Entity NameEnglewood Surgical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437282464
PECOS PAC ID: 6901960467
Enrollment ID: O20090127000712

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Entity NameEnglewood Physician's Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235363045
PECOS PAC ID: 3476603523
Enrollment ID: O20090610000614

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Entity NameWomen's Choice Of Hackensack P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114140589
PECOS PAC ID: 6901183201
Enrollment ID: O20170515000093

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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. Keith Gresham 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
Keith Gresham, MD
177 N Dean St, Suite 208,
Englewood, NJ 07631-2533

Ph: (201) 569-0200
Keith Gresham, MD
177 N Dean St, Suite 208,
Englewood, NJ 07631-2533

Ph: (201) 569-0200

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Obstetrics & Gynecology Doctors in Englewood, NJ

Hetal Gor, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 180 Grand Ave, Englewood, NJ 07631
Phone: 201-541-6868    Fax: 201-541-6869
Dr. Nicholas Kotopoulos, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 40 Engle St, Englewood, NJ 07631
Phone: 201-568-0522    Fax: 201-567-5955
Dr. Jennifer Eun Sun Cho, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 106 Grand Ave Ste 300, Englewood, NJ 07631
Phone: 201-608-0670    Fax: 201-781-7821
Dr. Victor Borden, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 180 Grand Ave, Englewood, NJ 07631
Phone: 201-871-1766    Fax: 201-871-1391
Karen Lynn Patrusky, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 401 S Van Brunt St, Ste 405, Englewood, NJ 07631
Phone: 201-871-4346    Fax: 201-871-5953
Dr. Yitzhack Asulin, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 106 Grand Ave, Suite 300, Englewood, NJ 07631
Phone: 917-543-5638    Fax: 201-308-5591

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