Kristine Held Schmitz, MD - Medicare Pediatrics in Somerset, NJ

Kristine Held Schmitz, MD is a medicare enrolled "Pediatrics" physician in Somerset, New Jersey. Her current practice location is 1 Worlds Fair Dr, Somerset, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 743-5437.

Kristine Held Schmitz is licensed to practice in District Of Columbia (license number MD041639) 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 1922329218.

Contact Information

Kristine Held Schmitz, MD
1 Worlds Fair Dr,
Somerset, NJ 08873-1344
(732) 743-5437
Not Available

Map and Direction




Physician's Profile

Full NameKristine Held Schmitz
GenderFemale
SpecialityPediatrics
Location1 Worlds Fair Dr, Somerset, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922329218
  • Provider Enumeration Date: 06/21/2010
  • Last Update Date: 07/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688803901
  • Enrollment ID: I20140208000208

Medical Identifiers

Medical identifiers for Kristine Held Schmitz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922329218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD041639 (District Of Columbia)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. Kristine Held Schmitz allows following entities to bill medicare on her behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

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. Kristine Held Schmitz 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
Kristine Held Schmitz, MD
Po Box 37215,
Baltimore, MD 21297-3215

Ph: () -
Kristine Held Schmitz, MD
1 Worlds Fair Dr,
Somerset, NJ 08873-1344

Ph: (732) 743-5437

Reviews and Comments


Pediatrics Doctors in Somerset, NJ

Karen Leibowitz, MD
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Emanuel Lerner, MD
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Dr. Aparna Arun, MD
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Practice Location: 1 Worlds Fair Dr, Suite 1, Somerset, NJ 08873
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Dr. Demetria Pennington, MD
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Dr. Himanshu Patel, MD
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Phone: 732-418-1700    Fax: 732-249-9599
Dr. John Francis Carroll, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 108 Canal Walk Blvd, Somerset, NJ 08873
Phone: 732-412-7324    Fax: 732-412-7324

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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