Mrs Scarlett Idema, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Detroit, Michigan. Her current practice location is
8631 W Vernor Hwy, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(917) 885-5670.
Mrs Scarlett Idema is licensed to practice in Michigan (license number 4704325475) 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 1316520653.
Physician's Profile
Full Name | Mrs Scarlett Idema |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8631 W Vernor Hwy, Detroit, 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: 1316520653
- Provider Enumeration Date: 05/04/2021
- Last Update Date: 04/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325443849
- Enrollment ID: I20210823000261
Medical Identifiers
Medical identifiers for Mrs Scarlett Idema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316520653 | NPI | - | NPPES |
1316520653 | Medicaid | MI | |
4704325475 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4704325475 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704325475 (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 Scarlett Idema allows following entities to bill medicare on her behalf.
Entity Name | Ypsilanti Urgent Care Walk-in Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881048494 PECOS PAC ID: 0244519809 Enrollment ID: O20161122002321 |
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Entity Name | Medicina Scarlett Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912602285 PECOS PAC ID: 9830559202 Enrollment ID: O20230717002502 |
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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 Scarlett Idema 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 Scarlett Idema, NURSE PRACTITIONER 2932 Elmhurst Ave, Royal Oak, MI 48073-3099 Ph: (917) 885-5670 | Mrs Scarlett Idema, NURSE PRACTITIONER 8631 W Vernor Hwy, Detroit, MI 48209-3420 Ph: (917) 885-5670 |
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