MEDICARE: LJUBISA M. STANKOVIC, M.D., PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD037459L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	443111398	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MD037459L	OTHER	PA	STATE LICENCE
3	50002585	OTHER	PA	CAPITAL BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	ST025763	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1033320551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LJUBISA M. STANKOVIC, M.D., PC

Provider Business Mailing Address
First Line	:	797 POPLAR CHURCH RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-2314
Country	:	US
Telephone Number	:	717-763-4383
Fax Number	:	717-763-4953

Provider Business Practice Location Address
First Line	:	797 POPLAR CHURCH RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-2314
Country	:	US
Telephone Number	:	717-763-4383
Fax Number	:	717-763-4953

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LJUBISA MIHAJLO STANKOVIC
Credential	:	M.D.
Telephone Number	:	717-763-4383

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	03/07/2023

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