Breanna M Eddy, in Clinton Township, MI - Medicare Nurse Practitioner

Breanna M Eddy, is a medicare enrolled "Nurse Practitioner - Adult Health" in Clinton Township, Michigan. Her current practice location is 15855 19 Mile Rd, Clinton Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 263-2300.

Breanna M Eddy is licensed to practice in Michigan (license number 4704326863) 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 1518626340.

Contact Information

	Breanna M Eddy,
	15855 19 Mile Rd, Clinton Township, MI 48038-3504
	(586) 263-2300
	Not Available

Map and Direction

Provider's Profile

Full Name	Breanna M Eddy
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	15855 19 Mile Rd, Clinton Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518626340
Provider Enumeration Date: 12/09/2021
Last Update Date: 06/07/2022

Medicare PECOS Information:

PECOS PAC ID: 9234517905
Enrollment ID: I20220608002302

Medical Identifiers

Medical identifiers for Breanna M Eddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518626340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704326863 (Michigan)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	4704326863 (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. Breanna M Eddy allows following entities to bill medicare on her 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

Entity Name	Henry Ford Macomb Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651

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. Breanna M Eddy 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
Breanna M Eddy, 1212 N Selfridge Blvd, Clawson, MI 48017-1006 Ph: (248) 736-0839	Breanna M Eddy, 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2300

Reviews and Comments

Nurse Practitioner Nurses in Clinton Township, MI

Emily Begian, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43361 Commons Dr, Clinton Township, MI 48038 Phone: 586-745-3006 Fax: 586-935-3762
Mrs. Michelle Carol Brogdon, RN, MSN, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16151 19 Mile Rd Ste 120, Clinton Township, MI 48038 Phone: 586-263-2222
Dr. Esther Casinelli Sikorski, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35200 Little Mack Ave, Clinton Township, MI 48035 Phone: 586-790-4096 Fax: 586-790-4364
Sara Cormendy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2075
Judy Haefner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38242 Sarnette St, Clinton Township, MI 48036 Phone: 586-954-9042
Mrs. Dana Marie Wenner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2788 Fax: 586-263-2577
Melissa Marie Morrison, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300

Breanna M Eddy, - Medicare Nurse Practitioner in Clinton Township, MI