Imrana Sabanovic, LPN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chesterfield, Michigan. Her current practice location is
28474 Tiffin Dr, Chesterfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 722-3111.
Imrana Sabanovic is licensed to practice in Michigan (license number 4703112430) 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 1174932941.
Provider's Profile
| Full Name | Imrana Sabanovic |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 28474 Tiffin Dr, Chesterfield, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174932941
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375078280
- Enrollment ID: I20241130000084
Medical Identifiers
Medical identifiers for Imrana Sabanovic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174932941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 164W00000X | Licensed Practical Nurse | 4703112430 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4703112430 (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. Imrana Sabanovic allows following entities to bill medicare on her behalf.
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990 |
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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. Imrana Sabanovic 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 |
|---|
Imrana Sabanovic, LPN
28474 Tiffin Dr,
Chesterfield, MI 48047-6203
Ph: (586) 722-3111 | Imrana Sabanovic, LPN
28474 Tiffin Dr,
Chesterfield, MI 48047-6203
Ph: (586) 722-3111 |
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