Andrej Jivitski, MD | |
700 Doctors Ct, Leesburg, FL 34748-7314 | |
(352) 787-9838 | |
(352) 787-8705 |
Full Name | Andrej Jivitski |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 700 Doctors Ct, Leesburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841286408 | NPI | - | NPPES |
014042100 | Medicaid | FL | |
14Z03 | Other | FL | BCBS |
1841286408 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C10006841 (Delaware) | Secondary |
207L00000X | Anesthesiology | MD28379 (Maine) | Secondary |
207L00000X | Anesthesiology | ME119527 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Tacoma, WA | Hospital |
Salem Hospital | Salem, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Health | 8628986668 | 393 |
Franciscan Medical Group | 0547173866 | 1173 |
Entity Name | Salem Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Mailing Address | Practice Location Address |
---|---|
Andrej Jivitski, MD 700 Doctors Ct, Leesburg, FL 34748-7314 Ph: (352) 867-8311 | Andrej Jivitski, MD 700 Doctors Ct, Leesburg, FL 34748-7314 Ph: (352) 787-9838 |
Jean Emilcar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 | |
Roland Janis Adamsons, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Scott Shapiro, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9926 Bunker Rd, Leesburg, FL 34788 Phone: 352-874-8647 Fax: 352-365-6323 | |
Dr. Mario J Fernandez-grela, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 | |
Dr. Robin Lee Guiab, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 | |
Suresh Nadella, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-867-8898 Fax: 352-732-6282 | |
Christopher A. Reed, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 |