Katja N Tandarich, NP-C - Medicare Nurse Practitioner in Saint Clair Shores, MI

Katja N Tandarich, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint Clair Shores, Michigan. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ascension St John Hospital and her current practice location is 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 779-7610.

Katja N Tandarich is licensed to practice in Michigan (license number 4704210394) 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 1801331210.

Contact Information

Katja N Tandarich, NP-C
21000 E 12 Mile Rd, Suite 111,
Saint Clair Shores, MI 48081-1116
(586) 779-7610
Not Available

Map and Direction




Provider's Profile

Full NameKatja N Tandarich
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location21000 E 12 Mile Rd, Saint Clair Shores, 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:
  • Katja N Tandarich graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1801331210
  • Provider Enumeration Date: 12/21/2016
  • Last Update Date: 03/05/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0042597916
  • Enrollment ID: I20170502000370

Medical Identifiers

Medical identifiers for Katja N Tandarich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801331210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704210394 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension St John Hospital3173424082279

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. Katja N Tandarich allows following entities to bill medicare on her behalf.
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409
Entity NameLakeshore Ear Nose And Throat Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285803346
PECOS PAC ID: 7315928934
Enrollment ID: O20040528000112

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. Katja N Tandarich 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
Katja N Tandarich, NP-C
21000 E 12 Mile Rd, Suite 111,
Saint Clair Shores, MI 48081-1116

Ph: (586) 779-7610
Katja N Tandarich, NP-C
21000 E 12 Mile Rd, Suite 111,
Saint Clair Shores, MI 48081-1116

Ph: (586) 779-7610

Reviews and Comments


Nurse Practitioner Nurses in Saint Clair Shores, MI

Nicole Irene Back,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 22213 Love St, Saint Clair Shores, MI 48082
Phone: 734-626-4672    
Carrie L Anderson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081
Phone: 586-771-4820    Fax: 586-771-6620
Jennifer Kulinski, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080
Phone: 586-945-5088    
Mrs. Ayesha Massey Bennett, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081
Phone: 586-884-5656    
Meghan Martinovski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081
Phone: 586-884-5656    
Mr. Ronald August Bonaventura Jr.,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080
Phone: 586-557-8398    
Patricia West, PHD, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080
Phone: 586-447-9070    

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.