Dr Kristina Mitikj, DNP, RN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" physician in Hackensack, New Jersey. Her current practice location is
92 2nd St # 210, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(551) 995-3925.
Dr Kristina Mitikj is licensed to practice in New Jersey (license number 26NJ01256900) 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 1750034989.
Physician's Profile
Full Name | Dr Kristina Mitikj |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 92 2nd St # 210, Hackensack, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750034989
- Provider Enumeration Date: 01/28/2022
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971970260
- Enrollment ID: I20221028001670
Medical Identifiers
Medical identifiers for Dr Kristina Mitikj such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750034989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0003X | Internal Medicine - Hematology & Oncology | 26NJ01256900 (New Jersey) | Secondary |
363L00000X | Nurse Practitioner | 26NJ01256900 (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. Dr Kristina Mitikj allows following entities to bill medicare on her behalf.
Entity Name | Rutgers Health-rwj Scleroderma Program |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679655781 PECOS PAC ID: 5193764991 Enrollment ID: O20050502000326 |
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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. Dr Kristina Mitikj 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 Address | Practice Location Address |
Dr Kristina Mitikj, DNP, RN, AGPCNP-BC 92 2nd St Ste 240, Hackensack, NJ 07601-2191 Ph: (551) 996-3925 | Dr Kristina Mitikj, DNP, RN, AGPCNP-BC 92 2nd St # 210, Hackensack, NJ 07601-2191 Ph: (551) 995-3925 |
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