Alexis Rogers, is a medicare enrolled "Nurse Practitioner - Primary Care" in Superior Township, Michigan. Her current practice location is
1657 Cardiff Row, Superior Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 536-9391.
Alexis Rogers is licensed to practice in Michigan (license number 4704356815) 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 1588376487.
Provider's Profile
Full Name | Alexis Rogers |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 1657 Cardiff Row, Superior Township, 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: 1588376487
- Provider Enumeration Date: 12/22/2022
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113370032
- Enrollment ID: I20240126003498
Medical Identifiers
Medical identifiers for Alexis Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588376487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 4704356815 (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. Alexis Rogers allows following entities to bill medicare on her behalf.
Entity Name | Great Lakes Medicine Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740210517 PECOS PAC ID: 4880613637 Enrollment ID: O20051122000265 |
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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. Alexis Rogers 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 |
Alexis Rogers, 1657 Cardiff Row, Superior Township, MI 48198-3587 Ph: (734) 536-9391 | Alexis Rogers, 1657 Cardiff Row, Superior Township, MI 48198-3587 Ph: (734) 536-9391 |
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