Katherine M Radakovich, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" provider in Bangor, Michigan. Her current practice location is
803 W Arlington St, Bangor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 427-6810.
Katherine M Radakovich is licensed to practice in Michigan (license number 4704285987) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043330798.
Healthcare Provider's Profile
| Full Name | Katherine M Radakovich |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 803 W Arlington St, Bangor, Michigan |
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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: 1043330798
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 03/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 5698803153
- Enrollment ID: I20170627003205
Medical Identifiers
Medical identifiers for Katherine M Radakovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043330798 | NPI | - | NPPES |
| 003650500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 857942 (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1139 (Alaska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9321730 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704285987 (Michigan) | 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. Katherine M Radakovich allows following entities to bill medicare on her behalf.
| Provider Name | Intercare Community Health Network |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326058512
PECOS PAC ID: 9537061254
Enrollment ID: O20040223000150 |
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| Provider Name | Hometown Urgent Care Of Michigan Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790030385
PECOS PAC ID: 8123270840
Enrollment ID: O20121204000095 |
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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. Katherine M Radakovich 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 |
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Katherine M Radakovich, FNP-BC
803 W Arlington St,
Bangor, MI 49013-1108
Ph: (269) 427-6810 | Katherine M Radakovich, FNP-BC
803 W Arlington St,
Bangor, MI 49013-1108
Ph: (269) 427-6810 |
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