Kathryn Irene Idzikowski, FNP - Medicare Nurse Practitioner in Warren, MI

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Kathryn Irene Idzikowski, FNP is a medicare enrolled "Nurse Practitioner - Family" in Warren, Michigan. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Water Urgent Care Pllc and her current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 573-5059.

Kathryn Irene Idzikowski is licensed to practice in Michigan (license number 4704280994) 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 1578004941.

Contact Information

Kathryn Irene Idzikowski, FNP
11800 E 12 Mile Rd,
Warren, MI 48093
(586) 573-5059
Not Available

Map and Direction




Provider's Profile

Full NameKathryn Irene Idzikowski
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location11800 E 12 Mile Rd, Warren, 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:
  • Kathryn Irene Idzikowski graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1578004941
  • Provider Enumeration Date: 03/17/2017
  • Last Update Date: 07/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5890062954
  • Enrollment ID: I20170608002249

Medical Identifiers

Medical identifiers for Kathryn Irene Idzikowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578004941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704280994 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Water Urgent Care Pllc812342789516

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. Kathryn Irene Idzikowski allows following entities to bill medicare on her behalf.
Entity NameEmergency Department Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225083595
PECOS PAC ID: 9436048998
Enrollment ID: O20040312000466
Entity NameObservation Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497920524
PECOS PAC ID: 9133292410
Enrollment ID: O20080719000024
Entity NameSeton Health Corporation Of Southeastern Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598177065
PECOS PAC ID: 2567689540
Enrollment ID: O20140814002590
Entity NameWyandotte Urgent Care Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316467384
PECOS PAC ID: 4183996150
Enrollment ID: O20170825001715
Entity NameBlue Water Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477135036
PECOS PAC ID: 8123427895
Enrollment ID: O20210528002212
Entity NameBluewater Urgent Care Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760128755
PECOS PAC ID: 5193100881
Enrollment ID: O20220915003775

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. Kathryn Irene Idzikowski 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
Kathryn Irene Idzikowski, FNP
11800 E 12 Mile Rd,
Warren, MI 48093-3472

Ph: (586) 306-4304		Kathryn Irene Idzikowski, FNP
11800 E 12 Mile Rd,
Warren, MI 48093

Ph: (586) 573-5059

Reviews and Comments


Nurse Practitioner Nurses in Warren, MI

Lauren Koenig, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091
Phone: 313-416-6262    
Rowena Callo Teodoro, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27560 Hoover Rd., Warren, MI 48093
Phone: 586-757-6400    Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5000    
Li Song, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092
Phone: 586-578-0222    
Olga Dmitryuk,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093
Phone: 586-216-9253    
Alexander Cole-selvaggio, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27101 Schoenherr Rd, Warren, MI 48088
Phone: 586-758-5800    Fax: 586-758-5841
Jenny Dessinger, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 27560 Hoover Rd, Warren, MI 48093
Phone: 586-757-6400    

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.