Cecilly A Pratt, MD is a medicare enrolled "General Practice" physician in Macomb, Michigan. Her current practice location is
15959 Hall Rd Ste 104, Macomb, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 884-2688.
Cecilly A Pratt is licensed to practice in Georgia (license number 069696) 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 1548226467.
Physician's Profile
Full Name | Cecilly A Pratt |
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Gender | Female |
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Speciality | General Practice |
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Location | 15959 Hall Rd Ste 104, Macomb, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548226467
- Provider Enumeration Date: 04/21/2006
- Last Update Date: 09/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 5092775643
- Enrollment ID: I20140722002443
Medical Identifiers
Medical identifiers for Cecilly A Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548226467 | NPI | - | NPPES |
464270910 | Medicaid | MI | |
700E012740 | Other | MI | BCBSM GROUP NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301078472 (Michigan) | Secondary |
208D00000X | General Practice | 069696 (Georgia) | 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. Cecilly A Pratt allows following entities to bill medicare on her behalf.
Entity Name | American Current Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710168117 PECOS PAC ID: 9739260019 Enrollment ID: O20080220000473 |
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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. Cecilly A Pratt 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 |
Cecilly A Pratt, MD 15959 Hall Rd Ste 104, Macomb, MI 48044-5364 Ph: (586) 884-2688 | Cecilly A Pratt, MD 15959 Hall Rd Ste 104, Macomb, MI 48044 Ph: (586) 884-2688 |
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