Mrs Mary Ann E Michelis, MD is a medicare enrolled "Allergy & Immunology" physician in Hackensack, New Jersey. Her current practice location is
360 Essex Street, Suite 302, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(551) 996-2065.
Mrs Mary Ann E Michelis is licensed to practice in New Jersey (license number 25MA03935600) 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 1710956073.
Physician's Profile
Full Name | Mrs Mary Ann E Michelis |
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Gender | Female |
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Speciality | Allergy & Immunology |
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Location | 360 Essex Street, Hackensack, New Jersey |
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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: 1710956073
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 10/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 5890867071
- Enrollment ID: I20110322000239
Medical Identifiers
Medical identifiers for Mrs Mary Ann E Michelis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710956073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 25MA03935600 (New Jersey) | 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 Ann E Michelis allows following entities to bill medicare on her behalf.
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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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. Mrs Mary Ann E Michelis 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 Ann E Michelis, MD 360 Essex Street, Suite 302, Hackensack, NJ 07601 Ph: (551) 996-2065 | Mrs Mary Ann E Michelis, MD 360 Essex Street, Suite 302, Hackensack, NJ 07601 Ph: (551) 996-2065 |
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