Elizabeth Kiselak, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Hackensack, New York. She graduated from medical school in 2011 and has 15 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 | 15 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 | 199 |
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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