Mrs Kallyn Jean Lucero, NP - Medicare Nurse Practitioner in Midland, MI

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Mrs Kallyn Jean Lucero, NP is a medicare enrolled "Nurse Practitioner" in Midland, Michigan. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mymichigan Medical Center Gladwin, Mymichigan Medical Group and her current practice location is 3009 N Saginaw Rd, Midland, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 633-1350.

Mrs Kallyn Jean Lucero is licensed to practice in Michigan (license number 4704286472) 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 1629729843.

Contact Information

Mrs Kallyn Jean Lucero, NP
3009 N Saginaw Rd,
Midland, MI 48640-4555
(989) 633-1350
(989) 633-1355

Map and Direction




Provider's Profile

Full NameMrs Kallyn Jean Lucero
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location3009 N Saginaw Rd, Midland, 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:
  • Mrs Kallyn Jean Lucero graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1629729843
  • Provider Enumeration Date: 01/11/2022
  • Last Update Date: 10/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547653255
  • Enrollment ID: I20220201002148

Medical Identifiers

Medical identifiers for Mrs Kallyn Jean Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629729843NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704286472 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Midmichigan Medical Center-gladwinGladwin, MIHospital
Midmichigan Medical Center-west BranchWest branch, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mymichigan Medical Center Gladwin014326291555
Mymichigan Medical Group4981501939161

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. Mrs Kallyn Jean Lucero allows following entities to bill medicare on her behalf.
Entity NameMymichigan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740230127
PECOS PAC ID: 4981501939
Enrollment ID: O20040126000905
Entity NameMymichigan Medical Center Alma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265596126
PECOS PAC ID: 3375451404
Enrollment ID: O20040202000975
Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889490
PECOS PAC ID: 2264323633
Enrollment ID: O20040324000137
Entity NameMymichigan Medical Center Clare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225081862
PECOS PAC ID: 7012829773
Enrollment ID: O20040720000582
Entity NameMymichigan Medical Center Gladwin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881869774
PECOS PAC ID: 0143262915
Enrollment ID: O20081024000094

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. Mrs Kallyn Jean Lucero 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
Mrs Kallyn Jean Lucero, NP
1180 N Clear Lake Rd,
West Branch, MI 48661-9499

Ph: (989) 891-6840		Mrs Kallyn Jean Lucero, NP
3009 N Saginaw Rd,
Midland, MI 48640-4555

Ph: (989) 633-1350

Reviews and Comments


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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.