| Dr Oliver Dimitrijevic, MD | |
|
27450 Schoenherr Rd, Suite 500, Warren, MI 48088-6683 | |
| (586) 582-7632 | |
| (586) 582-7633 |
| Full Name | Dr Oliver Dimitrijevic |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 24 Years |
| Location | 27450 Schoenherr Rd, Warren, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003055252 | NPI | - | NPPES |
| 700E012740 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01079000A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 4301089472 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyoming Medical Center | Casper, WY | Hospital |
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Sagewest Health Care | Riverton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Sound Physicians Of Wyoming, Llc | 8325214828 | 33 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oliver Dimitrijevic, MD 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2893 Ph: (313) 343-7280 | Dr Oliver Dimitrijevic, MD 27450 Schoenherr Rd, Suite 500, Warren, MI 48088-6683 Ph: (586) 582-7632 |
Rachel Marie Koch, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Jon Whitman Mackey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Dr. Martin Irvin Schock, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11885 E 12 Mile Rd, Suite 100a, Warren, MI 48093 Phone: 586-576-1615 Fax: 586-576-1628 | |
Salim Meram, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-573-5890 Fax: 586-573-5525 | |
Larry B Tankanow, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 27472 Schoenherr Rd Ste 100, Warren, MI 48088 Phone: 586-751-8844 Fax: 586-751-8596 | |
Leslie Adele Scott, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631 | |
Dr. Firas Zahwe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd Ste 308, Warren, MI 48093 Phone: 586-804-7525 Fax: 586-209-2486 |