Lidija Petrovic, MD in Los Angeles, CA

Lidija Petrovic, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Los Angeles, California. Her current practice location is 1510 San Pablo St Fl 6, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-4815.

Lidija Petrovic is licensed to practice in California (license number A52273) 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 1457326266.

Contact Information

	Lidija Petrovic, MD
	1510 San Pablo St Fl 6, Los Angeles, CA 90033-5320
	(323) 442-4815
	Not Available

Map and Direction

Physician's Profile

Full Name	Lidija Petrovic
Gender	Female
Speciality	Pathology - Anatomic Pathology
Location	1510 San Pablo St Fl 6, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457326266
Provider Enumeration Date: 02/23/2006
Last Update Date: 12/11/2013

Medicare PECOS Information:

PECOS PAC ID: 9234159344
Enrollment ID: I20081205000200

Medical Identifiers

Medical identifiers for Lidija Petrovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457326266	NPI	-	NPPES
ZZZ54738Z	Other	CA	GROUP BLUE SHIELD #
ZZZ94714Z	Other	CA	GROUP BLUE SHIELD #
W7801B	Other	CA	GROUP MEDICARE #
GR0101420	Other	CA	GROUP MEDICAID #
LAB28654F	Other	CA	GROUP MEDICAID #
HW7801B	Other	CA	GROUP MEDICARE #
HW7801A	Other	CA	GROUP MEDICARE #
ZZZ31029Z	Other	CA	GROUP BLUE SHIELD #
GR0101421	Other	CA	GROUP MEDICAID #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0101X	Pathology - Anatomic Pathology	226218 (New York)	Secondary
207ZP0101X	Pathology - Anatomic Pathology	A52273 (California)	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. Lidija Petrovic allows following entities to bill medicare on her behalf.

Entity Name	Siamak Tabib, Md Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265635536 PECOS PAC ID: 5991745382 Enrollment ID: O20050504001237

Entity Name	Peyton P Berookim Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669618559 PECOS PAC ID: 6901944529 Enrollment ID: O20091118000547

Entity Name	Path Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124316138 PECOS PAC ID: 1759532781 Enrollment ID: O20140718001941

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. Lidija Petrovic 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
Lidija Petrovic, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-2582	Lidija Petrovic, MD 1510 San Pablo St Fl 6, Los Angeles, CA 90033-5320 Ph: (323) 442-4815

Reviews and Comments

Pathology Doctors in Los Angeles, CA

Evan Yung, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-2582
Tiannan Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033 Phone: 323-442-2582
Nancy Klipfel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-2582 Fax: 323-442-2588
Lee Harold Hilborne, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285
Peter Tontonoz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285
Jeffrey Fred Krane, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095 Phone: 310-206-8199 Fax: 310-267-2058
Dr. Bahram Parsa, M.D., PH D. Pathology Medicare: Medicare Enrolled Practice Location: 100 Ucla Medical Plz, Suite 245, Los Angeles, CA 90024 Phone: 310-208-0099 Fax: 310-208-0963

Lidija Petrovic, MD - Medicare Pathology in Los Angeles, CA