Dr Mona Weller Birk, PHD, APN is a medicare enrolled "Clinical Nurse Specialist" provider in Basking Ridge, New Jersey. Her current practice location is
32 Hopkinson Ct, Basking Ridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 306-0774.
Dr Mona Weller Birk is licensed to practice in New Jersey (license number 26NC04510500) 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 1518032192.
Healthcare Provider's Profile
| Full Name | Dr Mona Weller Birk |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist |
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| Location | 32 Hopkinson Ct, Basking Ridge, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518032192
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 08/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 3375436355
- Enrollment ID: I20040204000263
Medical Identifiers
Medical identifiers for Dr Mona Weller Birk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518032192 | NPI | - | NPPES |
| 016408DBG | Other | NJ | MEDICARE ID-CNS-INHEALTH |
| 076509DBG | Other | NJ | MEDICARE ID-PHD-INHEALTH |
| 076509APU | Other | NJ | MEDICARE ID-PHD-ROSSI |
| 4144007 | Medicaid | NJ | |
| 0023850 | Medicaid | NJ | |
| 143411APU | Other | NJ | MEDICARE ID-CNS-ROSSI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 35S100409300 (New Jersey) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35S100409300 (New Jersey) | Secondary |
| 103TC1900X | Psychologist - Counseling | 35S100409300 (New Jersey) | Secondary |
| 103TF0000X | Psychologist - Family | 35S100409300 (New Jersey) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 35S100409300 (New Jersey) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 35S100409300 (New Jersey) | Secondary |
| 104100000X | Social Worker | 44SW00117700 (New Jersey) | Secondary |
| 106H00000X | Marriage & Family Therapist | 37F100122400 (New Jersey) | Secondary |
| 163W00000X | Registered Nurse | 26NR04510500 (New Jersey) | Secondary |
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 26NR04510500 (New Jersey) | Secondary |
| 364S00000X | Clinical Nurse Specialist | 26NC04510500 (New Jersey) | Primary |
| 103T00000X | Psychologist | 35S100409300 (New Jersey) | Secondary |
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. Dr Mona Weller Birk allows following entities to bill medicare on her behalf.
| Entity Name | Mona W. Birk, Phd, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790199537
PECOS PAC ID: 2365766441
Enrollment ID: O20150120001603 |
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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. Dr Mona Weller Birk 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 |
|---|
Dr Mona Weller Birk, PHD, APN
32 Hopkinson Ct,
Basking Ridge, NJ 07920-2982
Ph: (908) 306-0774 | Dr Mona Weller Birk, PHD, APN
32 Hopkinson Ct,
Basking Ridge, NJ 07920-2982
Ph: (908) 306-0774 |
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