DR. PETAR HINIC DDS NPI 1023290566

Dentist (Oral and Maxillofacial Surgery) in Summit, NJ

NPI 1023290566 Individual Male Dentist Oral and Maxillofacial Surgery PECOS Enrolled Opted-Out Medicare

About PETAR HINIC

Petar Hinic is a provider established in Summit, New Jersey and his medical specialization is dentist (oral and maxillofacial surgery) . The NPI number of Petar Hinic is 1023290566 and was assigned on November 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 22DIO2439200 (NJ). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A dentist like Dr. Petar Hinic Dds is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Petar Hinic is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Petar Hinic is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Petar Hinic opted out of Medicare effective on 12-01-2015 until 12-01-2021. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

NPI

1023290566

Provider NameDR. PETAR HINIC DDS
Provider Location Address155 SUMMIT AVE SUMMIT, NJ 07901
Provider Mailing Address155 SUMMIT AVE SUMMIT, NJ 07901
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-27-2007
Last Update Date07-11-2011


Primary Taxonomy

Taxonomy Code1223S0112X
ClassificationDentist
TypeDental Providers
SpecializationOral and Maxillofacial Surgery
License No.22DIO2439200
License StateNJ
Taxonomy DescriptionThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Business Address

DR. PETAR HINIC DDS
155 SUMMIT AVE
SUMMIT, NJ
ZIP 07901
Phone: (908) 273-5451
Fax: (908) 273-9474

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Mailing Address

DR. PETAR HINIC DDS
155 SUMMIT AVE
SUMMIT, NJ
ZIP 07901
Phone: (908) 273-5451
Fax: (908) 273-9474



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Opted-Out of MedicareYes
Opt-Out Effective Date12-01-2015
Opt-Out End Date12-01-2021
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437275716SUMMIT ORAL AND MAXILLOFACIAL SURGERY,PA
Organization
Dentist (Oral and Maxillofacial Surgery)155 SUMMIT AVE
SUMMIT, NJ 07901
(908) 273-5451
1942326236DR. JON ALBERT BARTLETT DDS
Individual
Dentist (Oral and Maxillofacial Surgery)155 SUMMIT AVE
SUMMIT, NJ 07901
(908) 273-5451

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.