| Niksa Vlasic, MD | |
|
901 Lakeshore Dr, Ishpeming, MI 49849-1367 | |
| (906) 486-4431 | |
| Not Available |
| Full Name | Niksa Vlasic |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 901 Lakeshore Dr, Ishpeming, 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 |
|---|---|---|---|
| 1669449625 | NPI | - | NPPES |
| 02198052 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 207073-1 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301073874 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Schoolcraft Memorial Hospital | Manistique, MI | Hospital |
| Bell Hospital | Ishpeming, MI | Hospital |
| Baraga County Memorial Hospital | L' anse, MI | Hospital |
| Munising Memorial Hospital | Munising, MI | Hospital |
| Helen Newberry Joy Hospital | Newberry, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upper Peninsula Imaging Pc | 0941469456 | 3 |
| Bell Physician Practices Inc | 4981833654 | 21 |
| Helen Newberry Joy Hospital | 5799671285 | 39 |
| Entity Name | Upper Peninsula Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619252442 PECOS PAC ID: 0941469456 Enrollment ID: O20120301000797 |
| Entity Name | Bell Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Niksa Vlasic, MD 2837 Us 41 W, Marquette, MI 49855-2252 Ph: (906) 225-3964 | Niksa Vlasic, MD 901 Lakeshore Dr, Ishpeming, MI 49849-1367 Ph: (906) 486-4431 |
Erich Glenn Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 901 Lakeshore Dr, Ishpeming, MI 49849 Phone: 906-485-2632 | |
Dr. Todd K Bostwick, MD Radiology Medicare: Medicare Enrolled Practice Location: 901 Lakeshore Dr, Ishpeming, MI 49849 Phone: 906-486-4431 |