Joanna O'dacre, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Waterford, Michigan. Her current practice location is
4755 Forest Ave, Waterford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 202-1187.
Joanna O'dacre is licensed to practice in Michigan (license number 4704297672) 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 1700512829.
Provider's Profile
Full Name | Joanna O'dacre |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 4755 Forest Ave, Waterford, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700512829
- Provider Enumeration Date: 07/29/2022
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436526241
- Enrollment ID: I20221108002930
Medical Identifiers
Medical identifiers for Joanna O'dacre such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700512829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704297672 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704297672 (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. Joanna O'dacre allows following entities to bill medicare on her behalf.
Entity Name | Ascension Genesys Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558517367 PECOS PAC ID: 2062323033 Enrollment ID: O20081029000720 |
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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. Joanna O'dacre 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 |
Joanna O'dacre, 4755 Forest Ave, Waterford, MI 48328-1119 Ph: (248) 202-1187 | Joanna O'dacre, 4755 Forest Ave, Waterford, MI 48328-1119 Ph: (248) 202-1187 |
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