Alexis Rogers, is a medicare enrolled "Nurse Practitioner - Primary Care" in Superior Township, Michigan. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Great Lakes Medicine Plc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 |
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| Experience | 3 Years |
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| Location | 1657 Cardiff Row, Superior Township, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexis Rogers graduated from nursing school in 2022
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 |
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| 363LP2300X | Nurse Practitioner - Primary Care | 4704356815 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Great Lakes Medicine Plc | 4880613637 | 28 |
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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