Individual provider Active NPI

Mariana Martinasevic, MD

  • Psychiatry Physician
  • Ft Lauderdale, FL
National Provider Identifier
1972587509
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME87810 Issued in FL
Practice address
6245 N.Federal Highway
Ste 201
Ft Lauderdale, FL 33308-3544
Phone
(954) 491-4455
Fax
(954) 491-4553
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME87810 FL Primary

Addresses

Primary practice location

6245 N.Federal Highway
Ste 201
Ft Lauderdale, FL 33308-3544

Mailing address

6245 N.Federal Highway
Ste 201
Ft Lauderdale, FL 33308-3544
Phone (954) 491-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001339 FL Practitioner - Psychiatry 8628050101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 E Commercial Blvd
Suite 207
Fort Lauderdale, FL 33308-4052
Phone (954) 224-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87810FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariana Martinasevic MD PA CurrentSince Oct 1, 2005 Accepting new patients

Locations

2021 E Commercial Blvd
Ste 207
Ft Lauderdale, FL 33308

6245 N Federal Hwy
Ste 201
Ft Lauderdale, FL 33308
Phone (954) 491-1314

2400 E Commercial Blvd
Ste 723
Ft Lauderdale, FL 33308
Phone (954) 449-5232

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1972587509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N.FEDERAL HIGHWAY",
            "address_2": "STE 201",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083544",
            "telephone_number": "954-491-4455",
            "fax_number": "954-491-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N.FEDERAL HIGHWAY",
            "address_2": "STE 201",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083544",
            "telephone_number": "954-491-4455",
            "fax_number": "954-491-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINASEVIC",
        "first_name": "MARIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME87810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.