Stefan Bulatovic, PMHNP-BC in San Diego, CA - Medicare Nurse Practitioner

Stefan Bulatovic, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. His current practice location is 2810 Camino Del Rio S Ste 102, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 299-1419.

Stefan Bulatovic is licensed to practice in California (license number 95018067) 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 1750053559.

Contact Information

	Stefan Bulatovic, PMHNP-BC
	2810 Camino Del Rio S Ste 102, San Diego, CA 92108-3819
	(619) 299-1419
	Not Available

Map and Direction

Provider's Profile

Full Name	Stefan Bulatovic
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2810 Camino Del Rio S Ste 102, 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: 1750053559
Provider Enumeration Date: 09/30/2021
Last Update Date: 09/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3779965280
Enrollment ID: I20220801000557

Medical Identifiers

Medical identifiers for Stefan Bulatovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750053559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95018067 (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. Stefan Bulatovic allows following entities to bill medicare on his behalf.

Entity Name	Bridge City Family Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548330715 PECOS PAC ID: 7810988292 Enrollment ID: O20040524000631

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. Stefan Bulatovic 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
Stefan Bulatovic, PMHNP-BC 3644 Wilson Ave, San Diego, CA 92104-4430 Ph: (619) 559-5305	Stefan Bulatovic, PMHNP-BC 2810 Camino Del Rio S Ste 102, San Diego, CA 92108-3819 Ph: (619) 299-1419

Reviews and Comments

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Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Stefan Bulatovic, PMHNP-BC - Medicare Nurse Practitioner in San Diego, CA