Marko Radakovic, CRNA in San Diego, CA - Medicare Nurse Anesthetist, Certified Registered

Marko Radakovic, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Diego, California. His current practice location is 34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-6400.

Marko Radakovic is licensed to practice in California (license number 93195) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023417847.

Contact Information

	Marko Radakovic, CRNA
	34800 Bob Wilson Dr, San Diego, CA 92134-1098
	(619) 532-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Marko Radakovic
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	34800 Bob Wilson Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023417847
Provider Enumeration Date: 08/18/2014
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8527456441
Enrollment ID: I20211026003402

Medical Identifiers

Medical identifiers for Marko Radakovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023417847	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	93195 (California)	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. Marko Radakovic allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Marko Radakovic 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
Marko Radakovic, CRNA 1908 Corte Escena, Chula Vista, CA 91914-4630 Ph: (619) 600-8114	Marko Radakovic, CRNA 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 532-6400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Diego, CA

Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Lena Grace Stephens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Marko Radakovic, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Diego, CA