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

Ivana Mitic, CRNA is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sparks, Maryland. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baltimore Ketamine Clinic and 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 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 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
Experience	13 Years
Location	909 Ridgebrook Rd Ste 202, Sparks, Maryland
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:

Ivana Mitic graduated from nursing school in 2012

NPI Data:

NPI Number: 1962743815
Provider Enumeration Date: 03/01/2013
Last Update Date: 04/28/2025

Medicare PECOS Information:

PECOS PAC ID: 1355580317
Enrollment ID: I20230515002400

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baltimore Ketamine Clinic	9739568569	3

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

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: Accepting Medicare Assignments Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 443-383-9300
Tabria Perry, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 772-221-7620
Mrs. Kimberly Nicole Harding-dudding, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 443-383-9300
Ashley Marie White, NP Nurse Practitioner Medicare: Not Enrolled in Medicare 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: Medicare Enrolled Practice Location: 909 Ridgebrook Rd Ste 220, Sparks, MD 21152 Phone: 443-383-9300
Sara Osei-bonsu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Ridgebrook Rd Ste 300, Sparks, MD 21152 Phone: 443-383-9300

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