Deepbella Khalsa, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in W Bloomfield, Michigan. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry Ford Medical Group and her current practice location is
6777 W Maple Rd, W Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 855-8611.
Deepbella Khalsa is licensed to practice in Michigan (license number 4704229460) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770829368.
Provider's Profile
| Full Name | Deepbella Khalsa |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 6777 W Maple Rd, W Bloomfield, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Deepbella Khalsa graduated from nursing school in 2012
NPI Data:
- NPI Number: 1770829368
- Provider Enumeration Date: 12/31/2012
- Last Update Date: 02/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749422863
- Enrollment ID: I20130820000129
Medical Identifiers
Medical identifiers for Deepbella Khalsa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770829368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704229460 (Michigan) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 4704229460 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Henry Ford Medical Group | 0547178311 | 2124 |
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. Deepbella Khalsa allows following entities to bill medicare on her behalf.
| Entity Name | Henry Ford Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104900455
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000341 |
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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. Deepbella Khalsa 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 |
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Deepbella Khalsa, ACNP
6777 W Maple Rd,
W Bloomfield, MI 48322-3013
Ph: (248) 855-8611 | Deepbella Khalsa, ACNP
6777 W Maple Rd,
W Bloomfield, MI 48322-3013
Ph: (248) 855-8611 |
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