Jessica Lynn Kata, CPNP-AC in Grosse Pointe Woods, MI

Jessica Lynn Kata, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Grosse Pointe Woods, Michigan. Her current practice location is 19229 Mack Ave Ste 28, Grosse Pointe Woods, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 647-3200.

Jessica Lynn Kata is licensed to practice in Michigan (license number 4704256354) 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 1255895355.

Contact Information

	Jessica Lynn Kata, CPNP-AC
	19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857
	(313) 647-3200
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Lynn Kata
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	19229 Mack Ave Ste 28, Grosse Pointe Woods, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255895355
Provider Enumeration Date: 01/23/2019
Last Update Date: 09/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7214335306
Enrollment ID: I20211004001701

Medical Identifiers

Medical identifiers for Jessica Lynn Kata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255895355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	4704256354 (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. Jessica Lynn Kata allows following entities to bill medicare on her behalf.

Entity Name	Hurley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700831500 PECOS PAC ID: 3173424082 Enrollment ID: O20040223000461

Entity Name	Hurley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053347880 PECOS PAC ID: 2961308481 Enrollment ID: O20040326000566

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. Jessica Lynn Kata 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
Jessica Lynn Kata, CPNP-AC 28235 Delton St, Madison Heights, MI 48071-2822 Ph: () -	Jessica Lynn Kata, CPNP-AC 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 Ph: (313) 647-3200

Reviews and Comments

Nurse Practitioner Nurses in Grosse Pointe Woods, MI

Alitha V Glenn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Michigan, 19259 Linville St, Grosse Pointe Woods, MI 48236 Phone: 248-346-6959
Kendall Morgan Rabaut, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20030 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-884-3380 Fax: 313-884-9756
Mrs. Oknang Bartok, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20160 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-8600 Fax: 313-882-0737
Gail M Grunkemeyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236 Phone: 313-884-5522 Fax: 313-884-6054
Dr. Anna F Boston, DNP-ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 23, Grosse Pointe Woods, MI 48236 Phone: 313-647-3252 Fax: 313-647-3349
Amy Stros, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236 Phone: 313-343-3740

Jessica Lynn Kata, CPNP-AC - Medicare Nurse Practitioner in Grosse Pointe Woods, MI