Mr Radovan Anzulovic, PA in Blythe, CA - Medicare Physician Assistant

Mr Radovan Anzulovic, PA is a medicare enrolled "Physician Assistant" in Blythe, California. His current practice location is 321 W Hobsonway, Blythe, California. You can reach out to his office (for appointments etc.) via phone at (760) 660-4790.

Mr Radovan Anzulovic is licensed to practice in California (license number PA56599) 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 1518427129.

Contact Information

	Mr Radovan Anzulovic, PA
	321 W Hobsonway, Blythe, CA 92225-1651
	(760) 660-4790
	(866) 554-1794

Map and Direction

Provider's Profile

Full Name	Mr Radovan Anzulovic
Gender	Male
Speciality	Physician Assistant
Location	321 W Hobsonway, Blythe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518427129
Provider Enumeration Date: 03/20/2019
Last Update Date: 03/05/2026

Medicare PECOS Information:

PECOS PAC ID: 0345573655
Enrollment ID: I20190531000120

Medical Identifiers

Medical identifiers for Mr Radovan Anzulovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518427129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA.0005629 (Colorado)	Secondary
363A00000X	Physician Assistant	PA56599 (California)	Primary

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. Mr Radovan Anzulovic 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
Mr Radovan Anzulovic, PA 179 N Elm St, Fruita, CO 81521-2208 Ph: (303) 667-3254	Mr Radovan Anzulovic, PA 321 W Hobsonway, Blythe, CA 92225-1651 Ph: (760) 660-4790

Reviews and Comments

Physician Assistant Nurses in Blythe, CA

Emmanuel Azubuike Nwisu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 E Hobsonway Ste C, Blythe, CA 92225 Phone: 760-922-0446
Lynn Brunet, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 321 W Hobsonway, Suite C, Blythe, CA 92225 Phone: 760-344-9951
Samantha Ann Varghese, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 321 W Hobsonway Ste C, Blythe, CA 92225 Phone: 760-922-4981

Mr Radovan Anzulovic, PA - Medicare Physician Assistant in Blythe, CA