Mio M Stikovac, MD | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | |
(702) 653-3257 | |
Not Available |
Full Name | Mio M Stikovac |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134205735 | NPI | - | NPPES |
200059360 | Medicaid | IN | |
3121962 | Other | BCBS TENNESSEE | |
060057636 | Other | IN | RAILROAD MEDICARE/MADISON |
159683 | Other | KY | SIHO-CTS |
415633P | Other | IN | SIHO |
1169908 | Other | CHA PROVIDER NETWORK | |
835778 | Other | FIRST HEALTH | |
P01333108 | Other | KY | MEDICARE RR-CTS |
000000867525 | Other | KY | ANTHEM-CTS |
299856 | Other | FEDERAL BLACK LUNG PROGRA | |
50065353 | Other | KY | PASSPORT-CTS |
060052920 | Other | RAILROAD MEDICARE TVILLE | |
2552053001 | Other | CIGNA | |
000000052136 | Other | KY | ANTHEM BCBS |
1079152 | Other | PASSPORT HEALTH PLAN | |
25-00439 | Other | KY | UNITED HEALTHCARE |
64300155 | Medicaid | KY | |
060052923 | Other | KY | RAILROAD MEDICARE |
6113371060A11 | Other | ANTHEM SR. ADVANTAGE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 01049387A (Indiana) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 30015 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437382074 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
Mailing Address | Practice Location Address |
---|---|
Mio M Stikovac, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Ph: (702) 653-3257 | Mio M Stikovac, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Ph: (702) 653-3257 |
Dr. Aaron Joseph Wolbrueck, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Shubhang N Mazumdar, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3800 | |
Dr. Seth Joseph Vanderveer, DO, RHMSUS, CSCS Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Aaron David Lewis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Derric A. Whiteside, D.O. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3128 | |
Jeremy P Kilburn, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3257 | |
Dr. Robert Brown Woolley, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |