Mrs Amanda Jevahirian, NP in Lincoln Park, MI

Mrs Amanda Jevahirian, NP is a medicare enrolled "Nurse Practitioner - Family" in Lincoln Park, Michigan. Her current practice location is 25650 Outer Dr, Lincoln Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 383-1897.

Mrs Amanda Jevahirian is licensed to practice in Michigan (license number 4704300662) 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 1063185072.

Contact Information

	Mrs Amanda Jevahirian, NP
	25650 Outer Dr, Lincoln Park, MI 48146-2096
	(313) 383-1897
	(313) 383-6018

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Jevahirian
Gender	Female
Speciality	Nurse Practitioner - Family
Location	25650 Outer Dr, Lincoln Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063185072
Provider Enumeration Date: 07/26/2021
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8224435953
Enrollment ID: I20210923000966

Medical Identifiers

Medical identifiers for Mrs Amanda Jevahirian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063185072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704300662NSA210LV (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704300662 (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 Amanda Jevahirian allows following entities to bill medicare on her behalf.

Entity Name	Western Wayne Family Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972530277 PECOS PAC ID: 4082617998 Enrollment ID: O20060926000287

Entity Name	Molina Care Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180320001095

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 Amanda Jevahirian 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 Amanda Jevahirian, NP 4700 Schaefer Rd Ste 340, Dearborn, MI 48126-3743 Ph: (313) 561-5100	Mrs Amanda Jevahirian, NP 25650 Outer Dr, Lincoln Park, MI 48146-2096 Ph: (313) 383-1897

Reviews and Comments

Nurse Practitioner Nurses in Lincoln Park, MI

Joyce Lynn Delaurentiis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Emmons Blvd, Lincoln Park, MI 48146 Phone: 313-506-4877
Teresa Ann Borowski, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 854 New York Ave, Lincoln Park, MI 48146 Phone: 313-928-3654 Fax: 313-928-3654
Miranda Kizy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1770 Fort St, Lincoln Park, MI 48146 Phone: 313-466-4000
Nkechi Kalu Ulinfun, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 752 Southfield Rd, Lincoln Park, MI 48146 Phone: 313-388-1400
Mr. Jason John Baker, AGANCP-BC, CCRN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1674 Leblanc St, Lincoln Park, MI 48146 Phone: 313-402-9257
Katherine Grinenko Metcalf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2255 Fort St, Lincoln Park, MI 48146 Phone: 313-386-7500 Fax: 313-386-6447

Mrs Amanda Jevahirian, NP - Medicare Nurse Practitioner in Lincoln Park, MI