| Nicholas Daniel Radovich, MD | |
|
800 S 3rd St, Montrose, CO 81401-4212 | |
| (970) 240-7220 | |
| (970) 497-8410 |
| Full Name | Nicholas Daniel Radovich |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 24 Years |
| Location | 800 S 3rd St, Montrose, Colorado |
| 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 |
|---|---|---|---|
| 1093744179 | NPI | - | NPPES |
| P00374067 | Other | CO | RAILROAD MEDICARE |
| 44385331 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 43950 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Montrose Memorial Hospital | Montrose, CO | Hospital |
| Delta County Memorial Hospital | Delta, CO | Hospital |
| Gunnison Valley Hospital | Gunnison, CO | Hospital |
| St Marys Medical Center | Grand junction, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Pathologists Pc | 9234028267 | 2 |
| Entity Name | Intermountain Pathologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922088772 PECOS PAC ID: 9234028267 Enrollment ID: O20040315001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Daniel Radovich, MD Po Box 2085, Montrose, CO 81402-2085 Ph: (970) 240-2274 | Nicholas Daniel Radovich, MD 800 S 3rd St, Montrose, CO 81401-4212 Ph: (970) 240-7220 |
Michael J Benziger, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 S 3rd Street, Montrose, CO 81401 Phone: 970-240-7220 Fax: 970-497-8410 | |
Dr. Thomas M Canfield, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 S 3rd St, Montrose, CO 81401 Phone: 970-240-7220 Fax: 970-497-8410 |