Ingrid Kwak, FNP in Saint Joseph, MI - Medicare Nurse Practitioner

Ingrid Kwak, FNP is a medicare enrolled "Nurse Practitioner" in Saint Joseph, Michigan. Her current practice location is 3950 Hollywood Rd Ste 110, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 985-1000.

Ingrid Kwak is licensed to practice in Michigan (license number 4704315366) 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 1326764317.

Contact Information

	Ingrid Kwak, FNP
	3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085-9151
	(269) 985-1000
	(269) 983-3181

Map and Direction

Provider's Profile

Full Name	Ingrid Kwak
Gender	Female
Speciality	Nurse Practitioner
Location	3950 Hollywood Rd Ste 110, Saint Joseph, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326764317
Provider Enumeration Date: 10/12/2022
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 2264803790
Enrollment ID: I20230120001223

Medical Identifiers

Medical identifiers for Ingrid Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326764317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704315366 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704315366 (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. Ingrid Kwak allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Hospitals At Niles And St Joseph Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172

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. Ingrid Kwak 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
Ingrid Kwak, FNP 3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085-9151 Ph: (269) 985-1000	Ingrid Kwak, FNP 3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085-9151 Ph: (269) 985-1000

Reviews and Comments

Nurse Practitioner Nurses in Saint Joseph, MI

Holly Carrizales, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8601
Miriam Mekila Morgan-skinner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307
Allison Kristen Elizabeth Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300
Jennifer Ann Soper, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2690 S Cleveland Ave, Saint Joseph, MI 49085 Phone: 269-428-2800
Charsie A Nealey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307
Suzan C Robarge, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Miners Rd, Saint Joseph, MI 49085 Phone: 269-408-1688 Fax: 269-408-1692
Abena F Amponsah, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307

Ingrid Kwak, FNP - Medicare Nurse Practitioner in Saint Joseph, MI