Dr Ajdin Kobic, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Bolivar, Missouri. He went to Mayo Medical School and graduated in 2018 and has 6 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Georgia Dermatology Specialists Pc and his current practice location is
1125 N Butterfield Rd, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 328-4500.
Dr Ajdin Kobic is licensed to practice in Missouri (license number 2024000630) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104321587.
Physician's Profile
| Full Name | Dr Ajdin Kobic |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 6 Years |
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| Location | 1125 N Butterfield Rd, Bolivar, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ajdin Kobic attended and graduated from Mayo Medical School in 2018
NPI Data:
- NPI Number: 1104321587
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 08/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951637339
- Enrollment ID: I20220926000592
Medical Identifiers
Medical identifiers for Dr Ajdin Kobic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104321587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 91881 (Georgia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 91881 (Georgia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2024000630 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Georgia Dermatology Specialists Pc | 6800784281 | 8 |
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 Ajdin Kobic allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Dermatology Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558380527
PECOS PAC ID: 6800784281
Enrollment ID: O20040308000718 |
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| Entity Name | Dermatology Associates Of Georgia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063560803
PECOS PAC ID: 3678547569
Enrollment ID: O20040825001091 |
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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 Ajdin Kobic 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 Ajdin Kobic, MD
1125 N Butterfield Rd,
Bolivar, MO 65613-1056
Ph: (417) 328-4500 | Dr Ajdin Kobic, MD
1125 N Butterfield Rd,
Bolivar, MO 65613-1056
Ph: (417) 328-4500 |
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