Mrs Mary Kay Koss, RD, CDE in Dearborn, MI - Medicare Dietitian, Registered Provider

Mrs Mary Kay Koss, RD, CDE is a medicare enrolled "Dietitian, Registered" provider in Dearborn, Michigan. Her current practice location is 19401 Hubbard Dr, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 982-8192.

Mrs Mary Kay Koss is licensed to practice in Michigan (license number R416222) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831313014.

Contact Information

	Mrs Mary Kay Koss, RD, CDE
	19401 Hubbard Dr, Dearborn, MI 48126-2641
	(313) 982-8192
	(313) 982-8493

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Kay Koss
Gender	Female
Speciality	Dietitian, Registered
Location	19401 Hubbard Dr, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831313014
Provider Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6103922042
Enrollment ID: I20070509000325

Medical Identifiers

Medical identifiers for Mrs Mary Kay Koss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831313014	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	R416222 (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. Mrs Mary Kay Koss allows following entities to bill medicare on her behalf.

Provider Name	Henry Ford Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Mrs Mary Kay Koss 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
Mrs Mary Kay Koss, RD, CDE 9027 Robindale, Redford, MI 48239-1578 Ph: (313) 531-1307	Mrs Mary Kay Koss, RD, CDE 19401 Hubbard Dr, Dearborn, MI 48126-2641 Ph: (313) 982-8192

Reviews and Comments

Dietitian, Registered in Dearborn, MI

Mayssoun Hamade, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4900 Mercury Dr, Dearborn, MI 48126 Phone: 313-982-4368
Marguerite Paris, Dietitian Medicare: Not Enrolled in Medicare Practice Location: Oakwood Healthcare Center Mercury Drive, 4900 Mercury Drive, Suite 201, Dearborn, MI 48126 Phone: 313-982-4351
Nesrine Akil, R.D Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5250 Auto Club Dr, Ste 200, Dearborn, MI 48126 Phone: 313-914-5591
Ms. Cynthia Ann Rutkowski, MA, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22921 Buckingham St, Dearborn, MI 48128 Phone: 313-278-5217 Fax: 313-206-9085
Anne Shutelock, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15401 N Commerce Dr, Dearborn, MI 48120 Phone: 313-550-0415
Dietitian For All L.l.c. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22030 Park Street, Dearborn, MI 48124 Phone: 248-767-4409
Mrs. Sharlene R Bidini, RD, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4900 Mercury Dr, Suite 100, Dearborn, MI 48126 Phone: 313-271-5577

Mrs Mary Kay Koss, RD, CDE - Medicare Dietitian in Dearborn, MI