Dejan Zivkovic, MS - Medicare Anesthesiologist Assistant in Westlake, OH

Dejan Zivkovic, MS is a medicare enrolled "Anesthesiologist Assistant" in Westlake, Ohio. His current practice location is 850 Columbia Rd, Westlake, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 808-4000.

Dejan Zivkovic is licensed to practice in Ohio (license number 67000093) 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 1255333282.

Contact Information

Dejan Zivkovic, MS
850 Columbia Rd,
Westlake, OH 44145-1493
(440) 808-4000
Not Available



Provider's Profile

Full NameDejan Zivkovic
GenderMale
SpecialityAnesthesiologist Assistant
Location850 Columbia Rd, Westlake, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255333282
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 03/17/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1355360652
  • Enrollment ID: I20051116000329

Medical Identifiers

Medical identifiers for Dejan Zivkovic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255333282NPI-NPPES
2375522MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 67000093 (Ohio)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. Dejan Zivkovic allows following entities to bill medicare on his behalf.
Entity NameSouthwest General Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134239676
PECOS PAC ID: 8527964550
Enrollment ID: O20031210000789

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Entity NameOhio Anesthesia Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639348113
PECOS PAC ID: 9537222138
Enrollment ID: O20090108000069

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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. Dejan Zivkovic 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 AddressPractice Location Address
Dejan Zivkovic, MS
Po Box 567,
Chagrin Falls, OH 44022-0567

Ph: (216) 464-5160
Dejan Zivkovic, MS
850 Columbia Rd,
Westlake, OH 44145-1493

Ph: (440) 808-4000

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› Verified 6 days ago


Anesthesiologist Assistant Nurses in Westlake, OH

Jay R Blackmur, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145
Phone: 440-827-5000    
Jeffrey P Scavelli, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145
Phone: 440-827-5000    
Chris E Thomascik, AA-C
Anesthesiologist Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145
Phone: 440-827-5000    
Jayati Thamilarasan, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 850 Columbia Rd, Westlake, OH 44145
Phone: 440-808-4000    Fax: 440-808-4010
Michael S Kovach, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 850 Columbia Rd, Westlake, OH 44145
Phone: 440-808-4000    
Theodore K Brewer, AA-C
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145
Phone: 440-827-5000    

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