Dr Anna Radisic, MD | |
160 Essex St Ste 102, Lodi, NJ 07644-2709 | |
(551) 996-8111 | |
(551) 996-8445 |
Full Name | Dr Anna Radisic |
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Gender | Female |
Speciality | Internal Medicine |
Location | 160 Essex St Ste 102, Lodi, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013545862 | NPI | - | NPPES |
118138600 | Medicaid | FL | |
S4OQ7 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME160304 (Florida) | Secondary |
207R00000X | Internal Medicine | 25MA12521300 (New Jersey) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
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Dr Anna Radisic, MD 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 Ph: () - | Dr Anna Radisic, MD 160 Essex St Ste 102, Lodi, NJ 07644-2709 Ph: (551) 996-8111 |
Dr. Ciro J Carafa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 S Main St, Lodi, NJ 07644 Phone: 973-473-7870 Fax: 973-472-1455 | |
Dr. Nora Z Tossounian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Essex St Ste 102, Lodi, NJ 07644 Phone: 551-996-8111 Fax: 551-996-8445 | |
Lwoodsky Charles, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4 Hunter St, Lodi, NJ 07644 Phone: 201-650-1292 | |
Dr. Michael J. Matarese, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Terrace Ave, Lodi, NJ 07644 Phone: 973-473-3896 | |
Tovah Tripp, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Essex St Ste 102, Lodi, NJ 07644 Phone: 551-996-8111 Fax: 551-996-8445 | |
Dr. Maria Ann Ramos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Main St, Suite 6, Lodi, NJ 07644 Phone: 973-777-2888 Fax: 973-777-1088 |