Miss Mia Deritis, - Medicare Physician Assistant in Pennington, NJ

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Miss Mia Deritis, is a medicare enrolled "Physician Assistant" in Pennington, New Jersey. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cmc Department Of Medicine Group Pa and her current practice location is 1 Capital Way, Pennington, New Jersey. You can reach out to her office (for appointments etc.) via phone at (800) 637-2374.

Miss Mia Deritis is licensed to practice in New Jersey (license number 25MP00518400) 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 1073063012.

Contact Information

Miss Mia Deritis,
1 Capital Way,
Pennington, NJ 08534-2520
(800) 637-2374
Not Available

Map and Direction




Provider's Profile

Full NameMiss Mia Deritis
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location1 Capital Way, Pennington, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Mia Deritis graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1073063012
  • Provider Enumeration Date: 10/13/2016
  • Last Update Date: 12/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709119340
  • Enrollment ID: I20190613000177

Medical Identifiers

Medical identifiers for Miss Mia Deritis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073063012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 25MP00518400 (New Jersey)Secondary
363A00000XPhysician Assistant 25MP00518400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cooper University HospitalCamden, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cmc Department Of Medicine Group Pa2163335878474

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. Miss Mia Deritis allows following entities to bill medicare on her behalf.
Entity NameAtlanticare Physician Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405
Entity NameCmc Department of Medicine Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609908094
PECOS PAC ID: 2163335878
Enrollment ID: O20050104000343
Entity NameCapital Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437516887
PECOS PAC ID: 7618264532
Enrollment ID: O20160921000449
Entity NameCapital Health Multispecialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083072342
PECOS PAC ID: 1850689894
Enrollment ID: O20161007000162

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. Miss Mia Deritis 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
Miss Mia Deritis,
1 Capital Way,
Pennington, NJ 08534-2520

Ph: (800) 637-2374		Miss Mia Deritis,
1 Capital Way,
Pennington, NJ 08534-2520

Ph: (800) 637-2374

Reviews and Comments


Physician Assistant Nurses in Pennington, NJ

Shaun Patrick Foley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Capital Way, Pennington, NJ 08534
Phone: 800-637-2374    
Gabrielle Yakubovich, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2 Capital Way Ste 220, Pennington, NJ 08534
Phone: 609-303-0747    
Mr. Jacob Mathew, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2 Capital Way Ste 456, Pennington, NJ 08534
Phone: 609-537-7300    
Natalya Lazarov, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Capital Way, Pennington, NJ 08534
Phone: 609-303-4000    
Diana Evans, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2 Capital Way Ste 456, Pennington, NJ 08534
Phone: 609-537-7300    Fax: 609-537-7301
Jacqueline Glanfield, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Capital Way, Pennington, NJ 08534
Phone: 609-537-6000    
Samantha Norton, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Capital Way, Pennington, NJ 08534
Phone: 609-303-4000    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.