Ivana Mitic, CRNA in Sparks, MD - Medicare Nurse Practitioner

Ivana Mitic, CRNA is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sparks, Maryland. Her current practice location is 909 Ridgebrook Rd Ste 202, Sparks, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 870-5482.

Ivana Mitic is licensed to practice in Maryland (license number R212937) 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 1962743815.

Contact Information

	Ivana Mitic, CRNA
	909 Ridgebrook Rd Ste 202, Sparks, MD 21152-9476
	(410) 870-5482
	Not Available

Map and Direction

Provider's Profile

Full Name	Ivana Mitic
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	909 Ridgebrook Rd Ste 202, Sparks, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962743815
Provider Enumeration Date: 03/01/2013
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 1355580317
Enrollment ID: I20141216001308

Medical Identifiers

Medical identifiers for Ivana Mitic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962743815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	784417 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R212937 (Maryland)	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. Ivana Mitic allows following entities to bill medicare on her behalf.

Entity Name	Baltimore Ketamine Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972145381 PECOS PAC ID: 9739568569 Enrollment ID: O20220624000152

Entity Name	Baltimore Ketamine Clinic Eastern Shore
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366171720 PECOS PAC ID: 2961881628 Enrollment ID: O20220627001766

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. Ivana Mitic 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
Ivana Mitic, CRNA 909 Ridgebrook Rd Ste 202, Sparks, MD 21152-9476 Ph: () -	Ivana Mitic, CRNA 909 Ridgebrook Rd Ste 202, Sparks, MD 21152-9476 Ph: (410) 870-5482

Reviews and Comments

Nurse Practitioner Nurses in Sparks, MD

Marissa Surdy, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 443-383-9300
Ms. Nina Sharma, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 443-383-9300
Elizabeth Quince, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Ridgebrook Rd Ste 220, Sparks, MD 21152 Phone: 443-383-9300
Sara Alston, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 443-383-9300
Christopher J. Englert, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Fila Way, Ste. 205, Sparks, MD 21152 Phone: 410-472-1006 Fax: 410-472-0900
Hsiu Chin Lin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 443-383-9300
Omolola Gloria Shominure, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Ridgebrook Rd Ste 220, Sparks, MD 21152 Phone: 443-383-9300

Ivana Mitic, CRNA - Medicare Nurse Practitioner in Sparks, MD