Mrs Milica Ivanov, NP | |
1532 Calumet Ave, Dyer, IN 46311-1588 | |
(219) 515-4700 | |
Not Available |
Full Name | Mrs Milica Ivanov |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1532 Calumet Ave, Dyer, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003551979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71012485A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Care Medical Specialists Pc | 7416251590 | 8 |
Entity Name | Advanced Care Medical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689030918 PECOS PAC ID: 7416251590 Enrollment ID: O20160210001538 |
Mailing Address | Practice Location Address |
---|---|
Mrs Milica Ivanov, NP 10110 Donald S Powers Dr, Suite 101d, Munster, IN 46321 Ph: (219) 301-7264 | Mrs Milica Ivanov, NP 1532 Calumet Ave, Dyer, IN 46311-1588 Ph: (219) 515-4700 |
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