Jisha Dudeesh, CNP in Pontiac, MI - Medicare Nurse Practitioner

Jisha Dudeesh, CNP is a medicare enrolled "Nurse Practitioner" in Pontiac, Michigan. Her current practice location is 44555 Woodward Ave, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 858-6104.

Jisha Dudeesh is licensed to practice in Michigan (license number 4704256647) 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 1902356272.

Contact Information

	Jisha Dudeesh, CNP
	44555 Woodward Ave, Pontiac, MI 48341
	(248) 858-6104
	Not Available

Map and Direction

Provider's Profile

Full Name	Jisha Dudeesh
Gender	Female
Speciality	Nurse Practitioner
Location	44555 Woodward Ave, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902356272
Provider Enumeration Date: 10/10/2016
Last Update Date: 12/13/2024

Medicare PECOS Information:

PECOS PAC ID: 9739433103
Enrollment ID: I20181121002014

Medical Identifiers

Medical identifiers for Jisha Dudeesh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902356272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704256647 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704256647 (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. Jisha Dudeesh allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Michigan Healthcare Professionals Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027

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. Jisha Dudeesh 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
Jisha Dudeesh, CNP 24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766	Jisha Dudeesh, CNP 44555 Woodward Ave, Pontiac, MI 48341 Ph: (248) 858-6104

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, MI

Marilyn Chandross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3700
Carol D Wilkinson, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6954 Fax: 248-858-3067
Mrs. Dorothy Helen Rodriguez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5210 Fax: 248-338-5584
Cristiana Gherasim, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340 Phone: 248-977-3758
Elsina John, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-605-3502
Ms. Carly Lynn Kassa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5645 Fax: 248-338-5547
Ariola Cacaj Dixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave Ste 112, Pontiac, MI 48341 Phone: 248-384-8100 Fax: 248-384-8101

Jisha Dudeesh, CNP - Medicare Nurse Practitioner in Pontiac, MI