Andrea Clegg, NP in Dearborn, MI - Medicare Nurse Practitioner

Andrea Clegg, NP is a medicare enrolled "Nurse Practitioner" in Dearborn, Michigan. Her current practice location is 22060 Beech St Ste 200, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 228-0505.

Andrea Clegg is licensed to practice in Michigan (license number 4704218011) 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 1285612861.

Contact Information

	Andrea Clegg, NP
	22060 Beech St Ste 200, Dearborn, MI 48124-2853
	(313) 228-0505
	(313) 228-0506

Map and Direction

Provider's Profile

Full Name	Andrea Clegg
Gender	Female
Speciality	Nurse Practitioner
Location	22060 Beech St Ste 200, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285612861
Provider Enumeration Date: 01/04/2006
Last Update Date: 01/05/2021

Medicare PECOS Information:

PECOS PAC ID: 3375504681
Enrollment ID: I20041020000858

Medical Identifiers

Medical identifiers for Andrea Clegg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285612861	NPI	-	NPPES
P00380696	Other		RAILROAD MEDICARE
10-4773390	Medicaid	MI
11-4941056	Medicaid	MI
10-4773362	Medicaid	MI
10-4773371	Medicaid	MI
11-4941047	Medicaid	MI
5008604240	Other	MI	BCBS
11-4941038	Medicaid	MI
11-4941065	Medicaid	MI
10-4773406	Medicaid	MI
11712499	Other		CAQH
10-4773380	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704218011 (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. Andrea Clegg allows following entities to bill medicare on her behalf.

Entity Name	Oakwood Ambulatory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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. Andrea Clegg 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
Andrea Clegg, NP 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	Andrea Clegg, NP 22060 Beech St Ste 200, Dearborn, MI 48124-2853 Ph: (313) 228-0505

Reviews and Comments

Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053
Ms. Amira Hachem, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18220 Snow Ave, Dearborn, MI 48124 Phone: 313-502-7755
Sarah Naji, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Ibtihal Alghanimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430

Andrea Clegg, NP - Medicare Nurse Practitioner in Dearborn, MI