Idriz Kovacevic I (NPI# 1861679706, PAC ID# 3476815606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SLEEP MEDICINE.
| Nation Provider ID (NPI) | 1861679706 |
| PAC ID by PECOS | 3476815606 |
| Professional Enrollment ID | I20180327002598 |
| Full Name | Idriz Kovacevic I |
| Organization Legal Name | WHITNEY SLEEP DIAGNOSTICS AND CONSULTANTS, LLC |
| Address |
712 Washington Ave Detroit Lakes MN 56501-3012 |
| Phone Number | 2188446150 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | SLEEP MEDICINE |
| Secondary Specialties | NEUROLOGY |
| Group Practice PAC ID | 8022160431 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521341 | RICHLAND HOSPITAL |
| 241305 | RIVERWOOD HEALTHCARE CENTER |
| 431301 | FAULKTON AREA MEDICAL CENTER |
| 241322 | RAINY LAKE MEDICAL CENTER |
| 520107 | HOLY FAMILY MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 712 Washington Ave, Detroit Lakes, MN 56501-3012 | 2188446150 | WHITNEY SLEEP DIAGNOSTICS AND CONSULTANTS, LLC |
| 2300 Western Ave, Manitowoc, WI 54220-3712 | HOLY FAMILY MEMORIAL INC |
| Organization Legal Name | WHITNEY SLEEP DIAGNOSTICS AND CONSULTANTS, LLC |
| Physicians | 1 |
| Street Address |
712 WASHINGTON AVE |
| City | DETROIT LAKES |
| State | MN |
| Zip | 56501-3012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul W Bender | Chiropractic | 119 Washington Ave, Detroit Lakes, MN 56501-2403 | |
| Juihsien Kao | Psychologist, Clinical | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Tessie Blake | Psychologist, Clinical | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Mary Lindstrom Amundson | Clinical Social Worker | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Chad C Erickson | Psychiatry | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Audrey A Kolnes | Clinical Social Worker | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Wanda J Dahlen | Psychologist, Clinical | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Thomas C Wilson | Chiropractic | Detroit Lakes Chiropractic, PC | 213 State St W, Detroit Lakes, MN 56501-3005 |
| Dustin P Johnson | Chiropractic | Detroit Lakes Chiropractic, PC | 213 State St W, Detroit Lakes, MN 56501-3005 |
| Robert T Mccamy | Optometry | Midwest Vision Centers Inc | 830 Washington Ave, Detroit Lakes, MN 56501-3014 |
| Find all physicians in zip 56501 | |||
| City | DETROIT LAKES |
| Zip Code | 56501 |
| Specialty | SLEEP MEDICINE |
| City + Specialty | DETROIT LAKES + SLEEP MEDICINE |
Please comment or provide details below to improve the information on Idriz Kovacevic I.
| 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.