Ilic Renal And Hypertension Associates, P.a. - Medicare Primary Care in Bloomington, IN

Ilic Renal And Hypertension Associates, P.a. is a medicare enrolled primary clinic (Internal Medicine - Nephrology) in Bloomington, Indiana. The current practice location for Ilic Renal And Hypertension Associates, P.a. is 3825 E Devonshire Ct, Bloomington, Indiana. For appointments, you can reach them via phone at (812) 837-3223. The mailing address for Ilic Renal And Hypertension Associates, P.a. is 3825 E Devonshire Ct, Bloomington, Indiana and phone number is (812) 837-3223.

Ilic Renal And Hypertension Associates, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033768619. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 837-3223.

Contact Information

Ilic Renal And Hypertension Associates, P.a.
3825 E Devonshire Ct
Bloomington
IN 47408-9699
(812) 837-3223
Not Available

Primary Care Clinic Profile

Full NameIlic Renal And Hypertension Associates, P.a.
SpecialityInternal Medicine
Location3825 E Devonshire Ct, Bloomington, Indiana
Authorized Official Name and PositionLjubomir Ilic (PRESIDENT)
Authorized Official Contact8128373515
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ilic Renal And Hypertension Associates, P.a.
3825 E Devonshire Ct
Bloomington
IN 47408-9699

Ph: (812) 837-3223
Ilic Renal And Hypertension Associates, P.a.
3825 E Devonshire Ct
Bloomington
IN 47408-9699

Ph: (812) 837-3223

NPI Details:

NPI Number1033768619
Provider Enumeration Date09/06/2019
Last Update Date06/15/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2769817402
Medicare Enrollment IDO20230726002487

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Medical Identifiers

Medical identifiers for Ilic Renal And Hypertension Associates, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033768619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ilic Renal And Hypertension Associates, P.a. acts as a billing entity for following providers:
Provider NameLjubomir Ilic
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1750348843
PECOS PAC ID: 7113020439
Enrollment ID: I20201123001280

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