Gudalia Fajardo, in Port Huron, MI - Medicare Nurse Practitioner

Gudalia Fajardo, is a medicare enrolled "Nurse Practitioner - Family" in Port Huron, Michigan. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Clair Specialty Physicians Pc and her current practice location is 2603 Electric Ave Ste 1, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 987-5252.

Gudalia Fajardo is licensed to practice in Michigan (license number 4704267837) 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 1083019012.

Contact Information

	Gudalia Fajardo,
	2603 Electric Ave Ste 1, Port Huron, MI 48060-6588
	(810) 987-5252
	(810) 987-2120

Map and Direction

Provider's Profile

Full Name	Gudalia Fajardo
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	2603 Electric Ave Ste 1, Port Huron, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gudalia Fajardo graduated from nursing school in 2014

NPI Data:

NPI Number: 1083019012
Provider Enumeration Date: 11/04/2014
Last Update Date: 02/17/2016

Medicare PECOS Information:

PECOS PAC ID: 6709109713
Enrollment ID: I20141224001070

Medical Identifiers

Medical identifiers for Gudalia Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083019012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704267837 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Huron Medical Center	Port huron, MI	Hospital
Mclaren Port Huron	Port huron, MI	Hospital
Deckerville Community Hospital	Deckerville, MI	Hospital
Mckenzie Health System	Sandusky, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Clair Specialty Physicians Pc	6204733256	34

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. Gudalia Fajardo allows following entities to bill medicare on her behalf.

Entity Name	St Clair Specialty Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154361616 PECOS PAC ID: 6204733256 Enrollment ID: O20040310000808

Entity Name	Infinity Visiting Physician Services Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437572930 PECOS PAC ID: 9830321173 Enrollment ID: O20140421000175

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. Gudalia Fajardo 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
Gudalia Fajardo, 45640 Schoenherr Rd, Suite B, Utica, MI 48315-6033 Ph: (586) 247-4300	Gudalia Fajardo, 2603 Electric Ave Ste 1, Port Huron, MI 48060-6588 Ph: (810) 987-5252

Reviews and Comments

Nurse Practitioner Nurses in Port Huron, MI

Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000
Justine Schrader, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898

Gudalia Fajardo, - Medicare Nurse Practitioner in Port Huron, MI