Elizabeth Kiselak, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Hackensack, New York. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Josephs Medical Group Pc and her current practice location is
5 Summit Ave., Suite 105, Hackensack, New York. You can reach out to her office (for appointments etc.) via phone at
(551) 996-2900.
Elizabeth Kiselak is licensed to practice in New Jersey (license number 25MA09907400) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912296195.
Physician's Profile
Full Name | Elizabeth Kiselak |
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Gender | Female |
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Speciality | General Surgery |
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Experience | 13 Years |
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Location | 5 Summit Ave., Hackensack, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Elizabeth Kiselak graduated from medical school in 2011
NPI Data:
- NPI Number: 1912296195
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 08/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779857446
- Enrollment ID: I20170919001417
Medical Identifiers
Medical identifiers for Elizabeth Kiselak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912296195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0102X | Surgery - Surgical Critical Care | 25MA09907400 (New Jersey) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 25MA09907400 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Josephs Medical Group Pc | 8628470325 | 173 |
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. Elizabeth Kiselak allows following entities to bill medicare on her behalf.
Entity Name | St Josephs Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
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Entity Name | North Jersey Trauma & Critical Care Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831363852 PECOS PAC ID: 8325111685 Enrollment ID: O20080718000526 |
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Entity Name | St Josephs Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
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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. Elizabeth Kiselak 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 |
Elizabeth Kiselak, MD 5 Summit Ave Ste 105, Hackensack, NJ 07601-1271 Ph: (551) 996-2900 | Elizabeth Kiselak, MD 5 Summit Ave., Suite 105, Hackensack, NY 07601 Ph: (551) 996-2900 |
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