Dr Slobodan Nesovic, PSYD is a medicare enrolled "Rehabilitation Counselor" provider in Los Angeles, California. His current practice location is
1125 W 6th St, Suite 103, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 202-3970.
Dr Slobodan Nesovic is licensed to practice in * (Not Available) (license number ) 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 1811147713.
Healthcare Provider's Profile
| Full Name | Dr Slobodan Nesovic |
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| Gender | Male |
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| Speciality | Rehabilitation Counselor |
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| Location | 1125 W 6th St, Los Angeles, California |
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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: 1811147713
- Provider Enumeration Date: 09/26/2008
- Last Update Date: 01/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 6305125881
- Enrollment ID: I20161128002388
Medical Identifiers
Medical identifiers for Dr Slobodan Nesovic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811147713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY28761 (California) | Secondary |
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. Dr Slobodan Nesovic allows following entities to bill medicare on his behalf.
| Entity Name | Mellow Medical Inc A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407275886
PECOS PAC ID: 3375767403
Enrollment ID: O20140611002222 |
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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. Dr Slobodan Nesovic 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 |
|---|
Dr Slobodan Nesovic, PSYD
1125 W 6th St, Suite 103,
Los Angeles, CA 90017-1833
Ph: (213) 202-3970 | Dr Slobodan Nesovic, PSYD
1125 W 6th St, Suite 103,
Los Angeles, CA 90017
Ph: (213) 202-3970 |
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