Dr Desanka Stipic-petrovic, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in St. Clair Shores, Michigan. Her current practice location is
19900 E. 10 Mile Road, Suite 102, St. Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 776-3366.
Dr Desanka Stipic-petrovic is licensed to practice in Michigan (license number 060579) 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 1174527436.
Physician's Profile
Full Name | Dr Desanka Stipic-petrovic |
---|
Gender | Female |
---|
Speciality | Psychiatry & Neurology - Psychiatry |
---|
Location | 19900 E. 10 Mile Road, St. Clair Shores, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174527436
- Provider Enumeration Date: 06/02/2005
- Last Update Date: 10/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 0840391447
- Enrollment ID: I20101019000879
Medical Identifiers
Medical identifiers for Dr Desanka Stipic-petrovic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174527436 | NPI | - | NPPES |
3018457 TYPE10 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 060579 (Michigan) | Primary |
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 Desanka Stipic-petrovic allows following entities to bill medicare on her behalf.
Entity Name | Shores Psychiatric Associates, P.c. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1437295789 PECOS PAC ID: 9032210638 Enrollment ID: O20070726000536 |
---|
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 Desanka Stipic-petrovic 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 Desanka Stipic-petrovic, MD 19900 E. 10 Mile Road, Suite 102, St. Clair Shores, MI 48080-4412 Ph: (586) 776-3366 | Dr Desanka Stipic-petrovic, MD 19900 E. 10 Mile Road, Suite 102, St. Clair Shores, MI 48080-4412 Ph: (586) 776-3366 |
Reviews and Comments