Juliana Labeeb Kishek, in Detroit, MI - Medicare Nurse Practitioner

Juliana Labeeb Kishek, is a medicare enrolled "Nurse Practitioner - Primary Care" in Detroit, Michigan. Her current practice location is 4646 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 576-1000.

Juliana Labeeb Kishek is licensed to practice in Michigan (license number AG12210071) 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 1558019778.

Contact Information

	Juliana Labeeb Kishek,
	4646 John R St, Detroit, MI 48201-1916
	(313) 576-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Juliana Labeeb Kishek
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	4646 John R St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558019778
Provider Enumeration Date: 03/16/2022
Last Update Date: 03/16/2022

Medicare PECOS Information:

PECOS PAC ID: 1658748272
Enrollment ID: I20221110000681

Medical Identifiers

Medical identifiers for Juliana Labeeb Kishek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558019778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	AG12210071 (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. Juliana Labeeb Kishek allows following entities to bill medicare on her behalf.

Entity Name	Allan Schwartz Medical Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447876305 PECOS PAC ID: 7113343690 Enrollment ID: O20200813003767

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. Juliana Labeeb Kishek 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
Juliana Labeeb Kishek, 50623 Justin Dr, Macomb, MI 48044-1291 Ph: (586) 477-5045	Juliana Labeeb Kishek, 4646 John R St, Detroit, MI 48201-1916 Ph: (313) 576-1000

Reviews and Comments

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Juliana Labeeb Kishek, - Medicare Nurse Practitioner in Detroit, MI