Jennifer L Kozak, NPC - Medicare Nurse Practitioner in St Clair Shores, MI

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Jennifer L Kozak, NPC is a medicare enrolled "Nurse Practitioner - Family" in St Clair Shores, Michigan. She graduated from nursing school in 2004 and has 20 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 28963 Little Mack, Ste 101, St Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 447-0700.

Jennifer L Kozak is licensed to practice in Michigan (license number 4704191405) 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 1801866124.

Contact Information

Jennifer L Kozak, NPC
28963 Little Mack, Ste 101,
St Clair Shores, MI 48081
(586) 447-0700
(586) 498-0707

Map and Direction




Provider's Profile

Full NameJennifer L Kozak
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location28963 Little Mack, St Clair Shores, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer L Kozak graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1801866124
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 08/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3173539582
  • Enrollment ID: I20060222000453

Medical Identifiers

Medical identifiers for Jennifer L Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801866124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704191405 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112124

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. Jennifer L Kozak allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104900455
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000341
Entity NameGi Medical Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154311405
PECOS PAC ID: 3375525215
Enrollment ID: O20040603001029

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. Jennifer L Kozak 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 AddressPractice Location Address
Jennifer L Kozak, NPC
28963 Little Mack, Ste 101,
St Clair Shores, MI 48081

Ph: (586) 447-0700		Jennifer L Kozak, NPC
28963 Little Mack, Ste 101,
St Clair Shores, MI 48081

Ph: (586) 447-0700

Reviews and Comments


Nurse Practitioner Nurses in St Clair Shores, MI

Carol Lynn Chodun, ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24211 Little Mack Avenue, Eastlake Cardiovascular, St Clair Shores, MI 48080
Phone: 586-498-0440    Fax: 586-498-0401
Heather M Gulish, M.S.N., C.U.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081
Phone: 586-771-4820    Fax: 586-771-6620
Barbara Lawson, RN MSN NPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 28963 Little Mack Ave, Ste 101, St Clair Shores, MI 48081
Phone: 586-447-0700    Fax: 586-498-0707

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.