Jelena Radinovic (NPI# 1982128112, PAC ID# 0941574461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982128112 |
| PAC ID by PECOS | 0941574461 |
| Professional Enrollment ID | I20170922000456 |
| Full Name | Jelena Radinovic |
| Organization Legal Name | MORELAND EAR NOSE AND THROAT GROUP LTD |
| Address |
1185 Corporate Ctr Dr Suite 205 Oconomowoc WI 53066-4887 |
| Phone Number | 2625600760 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284605494 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 240 Maple Ave, Mukwonago, WI 53149-8475 | 2623631920 | MORELAND EAR NOSE AND THROAT GROUP LTD |
| 13900 W National Ave, New Berlin, WI 53151-9515 | 2629284554 | MORELAND EAR NOSE AND THROAT GROUP LTD |
| 1185 Corporate Ctr Dr, Suite 205, Oconomowoc, WI 53066-4887 | 2625600760 | MORELAND EAR NOSE AND THROAT GROUP LTD |
| 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 | 2625471614 | MORELAND EAR NOSE AND THROAT GROUP LTD |
| Organization Legal Name | MORELAND EAR NOSE AND THROAT GROUP LTD |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward G Kass | Otolaryngology | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Jennifer L Johnson | Qualified Audiologist | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Kasey A Gillmore | Qualified Audiologist | Moreland Ear Nose and Throat Group Ltd | 13900 W National Ave, New Berlin, WI 53151-9515 |
| Matthew L Ubell | Otolaryngology | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Julie J Fournier | Qualified Audiologist | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Tracey A Irene | Qualified Audiologist | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Mary C Fox | Otolaryngology | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Mellisa Y Koenings | Physician Assistant | Moreland Ear Nose and Throat Group Ltd | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Katherine D Moore | Qualified Audiologist | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Thomas P Belson | Otolaryngology | Moreland Ear Nose and Throat Group Ltd | 1111 Delafield St, Suite 102, Waukesha, WI 53188-3402 |
| Street Address |
1185 CORPORATE CTR DR SUITE 205 |
| City | OCONOMOWOC |
| State | WI |
| Zip | 53066-4887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian P Butler | Urology | Urology Associates Ltd Sc | 1185 Corporate Ctr Dr, Suite 100, Oconomowoc, WI 53066-4887 |
| James T Kwiatt | Gastroenterology | Gi Associates LLC | 1185 Corporate Ctr Dr, Suite 125, Oconomowoc, WI 53066-4890 |
| Molly Mayer | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 320, Oconomowoc, WI 53066-4887 |
| Jon J Auger | Urology | Urology Associates Ltd Sc | 1185 Corporate Ctr Dr, Suite 100, Oconomowoc, WI 53066-4887 |
| Kristen A Vento | Family Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 |
| Emily R. Allred | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Services Sc | 1185 Corporate Ctr Dr, Suite 125, Oconomowoc, WI 53066-4890 |
| Chelsea Swanson | Physical Therapy | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 |
| Dawn M Pierson | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 |
| Dale A Johnson | Family Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 |
| Rajesh Santharam | Gastroenterology | Gi Associates LLC | 1185 Corporate Ctr Dr, Suite 120, Oconomowoc, WI 53066-4888 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara R Kalush | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Donna M Voigt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Anne K Wick | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| David D Schlomer | Internal Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bobbiejo Paul | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bradley Steven Schuster | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| David M Bjork | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| Nathan James Omick | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Michael Ray Traub | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Karen Ihry Gould | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Find all physicians in zip 53066 | |||
| City | OCONOMOWOC |
| Zip Code | 53066 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OCONOMOWOC + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jelena Radinovic.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.