Dr Srbislav N Brasovan, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Hobart, Indiana. His current practice location is
111 W 10th St, Suite 100, Hobart, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 738-2742.
Dr Srbislav N Brasovan is licensed to practice in Indiana (license number 01022104A) 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 1871655589.
Physician's Profile
| Full Name | Dr Srbislav N Brasovan |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 111 W 10th St, Hobart, Indiana |
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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: 1871655589
- Provider Enumeration Date: 12/16/2006
- Last Update Date: 08/04/2010
Medicare PECOS Information:
- PECOS PAC ID: 1254372550
- Enrollment ID: I20050517000810
Medical Identifiers
Medical identifiers for Dr Srbislav N Brasovan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871655589 | NPI | - | NPPES |
| 000000229829 | Other | IN | BLUECROSSBLUESHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 01022104A (Indiana) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 036103826 (Illinois) | 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 Srbislav N Brasovan allows following entities to bill medicare on his behalf.
| Entity Name | Vigilance Anesthesiologists & Pain Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013475375
PECOS PAC ID: 4284975541
Enrollment ID: O20190514000737 |
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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 Srbislav N Brasovan 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 Srbislav N Brasovan, MD
7903 E 97th Ave,
Crown Point, IN 46307-8599
Ph: (219) 738-2742 | Dr Srbislav N Brasovan, MD
111 W 10th St, Suite 100,
Hobart, IN 46342-5990
Ph: (219) 738-2742 |
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