Miss Gorana Micevic, | |
1564 S Washington St, Du Quoin, IL 62832-3849 | |
(618) 542-8702 | |
(618) 542-8792 |
Full Name | Miss Gorana Micevic |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1564 S Washington St, Du Quoin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710516604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 085007903 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Gorana Micevic, Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Miss Gorana Micevic, 1564 S Washington St, Du Quoin, IL 62832-3849 Ph: (618) 542-8702 |
Mrs. Cristie Lynn Smith, CERTIFIED MEDICAL AS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 119 Gas Plant Rd, Rea Clinic Du Quoin, Du Quoin, IL 62832 Phone: 618-724-8702 Fax: 618-724-2571 | |
Tamara Collard, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 |