| Igor Nedic, MD | |
|
3350 Gratiot Blvd, Marysville, MI 48040-2121 | |
| (810) 364-4000 | |
| (810) 364-5995 |
| Full Name | Igor Nedic |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 3350 Gratiot Blvd, Marysville, 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 |
|---|---|---|---|
| 1316913304 | NPI | - | NPPES |
| 1316913304 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301049512 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Ascension River District Hospital | East china, MI | Hospital |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Healthcare Network Pc | 3476456252 | 30 |
| Entity Name | Physician Healthcare Network Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750334405 PECOS PAC ID: 3476456252 Enrollment ID: O20040129000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Igor Nedic, MD 3050 Commerce Dr, Suite B, Fort Gratiot, MI 48059-3819 Ph: (810) 385-4441 | Igor Nedic, MD 3350 Gratiot Blvd, Marysville, MI 48040-2121 Ph: (810) 364-4000 |
Leticia Dantes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 845 Michigan Ave, Marysville, MI 48040 Phone: 810-364-5050 Fax: 810-364-5688 | |
Dr. Steven Alan Ledtke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 875 Michigan Ave, Marysville, MI 48040 Phone: 810-364-8600 Fax: 810-364-4346 | |
Amgad Nashed-awad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040 Phone: 810-364-5050 Fax: 810-364-5688 | |
Kristina Pamukov, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995 | |
Dr. John Domenico Colombo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995 | |
Dr. James Sterling Cabeen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1985 Gratiot Blvd, Ste 2a, Marysville, MI 48040 Phone: 810-364-5050 Fax: 810-364-5688 |