Fanta Mian, - Medicare Nurse Practitioner in Hackensack, NJ

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Fanta Mian, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hackensack, New Jersey. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 25 E Salem St, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 534-2734.

Fanta Mian is licensed to practice in New Jersey (license number 26NJ01202000) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1477216224.

Contact Information

Fanta Mian,
25 E Salem St,
Hackensack, NJ 07601-7427
(973) 534-2734
Not Available

Map and Direction




Provider's Profile

Full NameFanta Mian
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location25 E Salem St, Hackensack, New Jersey
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fanta Mian graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1477216224
  • Provider Enumeration Date: 10/19/2021
  • Last Update Date: 06/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517350077
  • Enrollment ID: I20220203002662

Medical Identifiers

Medical identifiers for Fanta Mian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477216224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01202000 (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. Fanta Mian allows following entities to bill medicare on her behalf.
Entity NameRutgers Health Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891956298
PECOS PAC ID: 2466346770
Enrollment ID: O20040419001021
Entity NameComprehensive Behavioral Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176720
PECOS PAC ID: 4486640653
Enrollment ID: O20040422001178
Entity NameBaraka Psychiatric Healthcare LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114881372
PECOS PAC ID: 3173000411
Enrollment ID: O20260116003589

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. Fanta Mian 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
Fanta Mian,
2552 Standish Ave,
Union, NJ 07083-4939

Ph: (973) 534-2734		Fanta Mian,
25 E Salem St,
Hackensack, NJ 07601-7427

Ph: (973) 534-2734

Reviews and Comments


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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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