MISS GORANA MICEVIC
NPI 1710516604
Physician Assistant in Du Quoin, IL

Q: What is Gorana Micevic's NPI number?

The NPI number for Gorana Micevic is 1710516604. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Gorana Micevic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gorana Micevic was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment

1564 S WASHINGTON ST, DU QUOIN, IL 62832(618) 542-8702(618) 542-8792 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Sep 24, 2020, Apr 3, 2020 (3 updates tracked since 2020).

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About Miss Gorana Micevic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS GORANA MICEVIC (NPI 1710516604) is an individual physician assistant in Du Quoin, Illinois, licensed in Illinois (085007903) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2020).

NPPES Registry Identity

NPI1710516604

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS GORANA MICEVIC

Location Address1564 S WASHINGTON STDu Quoin, IL 62832-3849

Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2401 · Fax (618) 724-4628

Phone(618) 542-8702

Fax(618) 542-8792

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2020

Enumeration DateApril 3, 2020

Last NPPES UpdateOctober 7, 20203 updates tracked since enumeration

NPPES CertifiedOctober 7, 2020

✔ NPI 1710516604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085007903

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1564 S WASHINGTON ST, Du Quoin, IL 62832

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Gorana Micevic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921414210

PECOS Enrollment IDI20210311000939

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANALIESE WILMSMEYER PA-S

Physician Assistant