Mr Sandra G Prochazka, LMSW in Ann Arbor, MI - Medicare Clinical Social Worker Provider

Mr Sandra G Prochazka, LMSW is a medicare enrolled "Marriage & Family Therapist" provider in Ann Arbor, Michigan. She graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 3830 Packard St Ste 250, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 786-2364.

Mr Sandra G Prochazka is licensed to practice in Michigan (license number 4101005601) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609933209.

Contact Information

	Mr Sandra G Prochazka, LMSW
	3830 Packard St Ste 250, Ann Arbor, MI 48108-2273
	(734) 786-2364
	(734) 786-4915

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Sandra G Prochazka
Gender	Female
Speciality	Clinical Social Worker
Experience	52 Years
Location	3830 Packard St Ste 250, Ann Arbor, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Sandra G Prochazka graduated from medical school in 1972

NPI Data:

NPI Number: 1609933209
Provider Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991966426
Enrollment ID: I20120410000733

Medical Identifiers

Medical identifiers for Mr Sandra G Prochazka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609933209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801005822 (Michigan)	Primary
106H00000X	Marriage & Family Therapist	4101005601 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Sandra G Prochazka allows following entities to bill medicare on her behalf.

Entity Name	St Mary Mercy Hospital Professional
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528145554 PECOS PAC ID: 2365521226 Enrollment ID: O20080502000426

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sandra G Prochazka is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Sandra G Prochazka, LMSW 7950 Jennings Rd, Whitmore Lake, MI 48189-9511 Ph: (734) 786-2364	Mr Sandra G Prochazka, LMSW 3830 Packard St Ste 250, Ann Arbor, MI 48108-2273 Ph: (734) 786-2364

Mr Sandra G Prochazka, LMSW - Medicare in Ann Arbor, MI