Ivan Srdanovic, PMHNP-BC in Round Rock, TX - Medicare Nurse Practitioner

Ivan Srdanovic, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Round Rock, Texas. His current practice location is 2200 N A W Grimes Blvd Ste 600, Round Rock, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 655-3104.

Ivan Srdanovic is licensed to practice in Texas (license number AP144239) 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 1184262735.

Contact Information

	Ivan Srdanovic, PMHNP-BC
	2200 N A W Grimes Blvd Ste 600, Round Rock, TX 78665-2745
	(512) 655-3104
	(833) 955-3628

Map and Direction

Provider's Profile

Full Name	Ivan Srdanovic
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2200 N A W Grimes Blvd Ste 600, Round Rock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184262735
Provider Enumeration Date: 12/13/2019
Last Update Date: 04/14/2025

Medicare PECOS Information:

PECOS PAC ID: 7416330428
Enrollment ID: I20220823003241

Medical Identifiers

Medical identifiers for Ivan Srdanovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184262735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP144239 (Texas)	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. Ivan Srdanovic allows following entities to bill medicare on his behalf.

Entity Name	Kotel Atx
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568055192 PECOS PAC ID: 9537578810 Enrollment ID: O20210518000994

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. Ivan Srdanovic 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
Ivan Srdanovic, PMHNP-BC 2200 N A W Grimes Blvd Ste 600, Round Rock, TX 78665-2745 Ph: (512) 655-3104	Ivan Srdanovic, PMHNP-BC 2200 N A W Grimes Blvd Ste 600, Round Rock, TX 78665-2745 Ph: (512) 655-3104

Reviews and Comments

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Cheryl Bush, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 N A W Grimes Blvd Ste N103, Round Rock, TX 78665 Phone: 877-800-5722 Fax: 512-218-1249
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Deepa Gaba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 N A W Grimes Blvd, Round Rock, TX 78665 Phone: 512-982-9929

Ivan Srdanovic, PMHNP-BC - Medicare Nurse Practitioner in Round Rock, TX