Nathan Vandjelovic, in Detroit, MI - Medicare Otolaryngology

Nathan Vandjelovic, is a medicare enrolled "Otolaryngology" physician in Detroit, Michigan. His current practice location is 4201 Saint Antoine St # 9c, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-5147.

Nathan Vandjelovic is licensed to practice in Michigan (license number 5101020558) 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 1396086286.

Contact Information

	Nathan Vandjelovic,
	4201 Saint Antoine St # 9c, Detroit, MI 48201-2153
	(313) 745-5147
	(313) 966-0880

Map and Direction

Physician's Profile

Full Name	Nathan Vandjelovic
Gender	Male
Speciality	Otolaryngology
Location	4201 Saint Antoine St # 9c, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396086286
Provider Enumeration Date: 03/03/2013
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 3274834973
Enrollment ID: I20190801001540

Medical Identifiers

Medical identifiers for Nathan Vandjelovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396086286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0214X	Pediatrics - Pediatric Pulmonology	297940 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Y00000X	Otolaryngology	5101020558 (Michigan)	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. Nathan Vandjelovic allows following entities to bill medicare on his behalf.

Entity Name	University Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019

Entity Name	Pediatric Allergy Of Pulmonary
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013952688 PECOS PAC ID: 8628052057 Enrollment ID: O20040615000294

Entity Name	University Of Rochester Pediatric Otolaryngology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295984532 PECOS PAC ID: 7719040369 Enrollment ID: O20090108000570

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. Nathan Vandjelovic 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
Nathan Vandjelovic, 875s Brys Dr, Grosse Pointe Woods, MI 48236-1209 Ph: (804) 929-2964	Nathan Vandjelovic, 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 Ph: (313) 745-5147

Reviews and Comments

Otolaryngology Doctors in Detroit, MI

Dr. Samba Siva Reddy Bathula, M.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201 Phone: 313-966-9471 Fax: 313-966-9470
Dr. Kathleen L. Yaremchuk, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3275 Fax: 313-916-7263
Dr. Lamont Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Department Of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-3272 Fax: 313-916-7263
Dr. Joshua Romero, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Robert Hadi Deeb, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3275
Nathan Gonik, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3901 Beaubien St, Suite 2102, Detroit, MI 48201 Phone: 313-966-6443 Fax: 313-745-0747
Dr. Ilaaf Darrat, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-587-3523

Nathan Vandjelovic, - Medicare Otolaryngology in Detroit, MI