Andres Ayala, NP in Detroit, MI - Medicare Nurse Practitioner

Andres Ayala, NP is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. His current practice location is 5635 W Fort St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 849-3920.

Andres Ayala is licensed to practice in Michigan (license number 4704239781) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407307655.

Contact Information

	Andres Ayala, NP
	5635 W Fort St, Detroit, MI 48209-3154
	(313) 849-3920
	(313) 849-0824

Map and Direction

Provider's Profile

Full Name	Andres Ayala
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5635 W Fort St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407307655
Provider Enumeration Date: 10/21/2016
Last Update Date: 10/21/2016

Medicare PECOS Information:

PECOS PAC ID: 0244517605
Enrollment ID: I20170512000425

Medical Identifiers

Medical identifiers for Andres Ayala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407307655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704239781 (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. Andres Ayala allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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. Andres Ayala 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
Andres Ayala, NP 5635 W Fort St, Detroit, MI 48209-3154 Ph: (313) 849-3920	Andres Ayala, NP 5635 W Fort St, Detroit, MI 48209-3154 Ph: (313) 849-3920

Reviews and Comments

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Andres Ayala, NP - Medicare Nurse Practitioner in Detroit, MI