Carly Stempien Mouhajer, in Southfield, MI - Medicare Nurse Practitioner

Carly Stempien Mouhajer, is a medicare enrolled "Nurse Practitioner" in Southfield, Michigan. Her current practice location is 22301 Foster Winter Dr, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 849-8607.

Carly Stempien Mouhajer is licensed to practice in Michigan (license number 4704311262) 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 1194346130.

Contact Information

	Carly Stempien Mouhajer,
	22301 Foster Winter Dr, Southfield, MI 48075-3707
	(248) 849-8607
	(248) 849-8108

Map and Direction

Provider's Profile

Full Name	Carly Stempien Mouhajer
Gender	Female
Speciality	Nurse Practitioner
Location	22301 Foster Winter Dr, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194346130
Provider Enumeration Date: 04/30/2020
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9739553785
Enrollment ID: I20230315000717

Medical Identifiers

Medical identifiers for Carly Stempien Mouhajer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194346130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704311262 (Michigan)	Secondary
163WE0003X	Registered Nurse - Emergency	4704311262 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704311262 (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. Carly Stempien Mouhajer allows following entities to bill medicare on her behalf.

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

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. Carly Stempien Mouhajer 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
Carly Stempien Mouhajer, 22350 Waterland Dr, Northville, MI 48167-3559 Ph: (313) 570-5225	Carly Stempien Mouhajer, 22301 Foster Winter Dr, Southfield, MI 48075-3707 Ph: (248) 849-8607

Reviews and Comments

Nurse Practitioner Nurses in Southfield, MI

Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy Ste 815, Southfield, MI 48075 Phone: 248-557-3337 Fax: 248-557-3339
Charmaine Adegeye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25240 Lahser Rd Ste 2, Southfield, MI 48033 Phone: 248-564-1367 Fax: 734-725-6746
Ms. Jessica L Beacome, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075 Phone: 248-849-8716 Fax: 248-849-2565
Teresea Ann Zarza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2528 Fax: 248-849-8256
Nicole Noel Silvestri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489
Mrs. Caroline B Trapp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034 Phone: 248-355-0880 Fax: 248-355-9232
Mrs. Bernadette Ann Bruno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2536

Carly Stempien Mouhajer, - Medicare Nurse Practitioner in Southfield, MI