Marija Dragica Mutabdzic, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fulton, New York. Her current practice location is
98 N 2nd St, Fulton, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 326-3555.
Marija Dragica Mutabdzic is licensed to practice in New York (license number 260428) 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 1891803227.
Physician's Profile
Full Name | Marija Dragica Mutabdzic |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 98 N 2nd St, Fulton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891803227
- Provider Enumeration Date: 08/27/2006
- Last Update Date: 07/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 7012016561
- Enrollment ID: I20070625000028
Medical Identifiers
Medical identifiers for Marija Dragica Mutabdzic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891803227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 260428 (New York) | 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. Marija Dragica Mutabdzic allows following entities to bill medicare on her behalf.
Entity Name | Liberty Resources Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225254881 PECOS PAC ID: 4486703352 Enrollment ID: O20090526000025 |
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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. Marija Dragica Mutabdzic 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 |
Marija Dragica Mutabdzic, MD 4 Country Ln, Oswego, NY 13126-4100 Ph: (315) 216-6995 | Marija Dragica Mutabdzic, MD 98 N 2nd St, Fulton, NY 13069-1254 Ph: (315) 326-3555 |
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