Kimberly O'shaughnessy, in Novi, MI - Medicare Nurse Practitioner

Kimberly O'shaughnessy, is a medicare enrolled "Nurse Practitioner - Primary Care" in Novi, Michigan. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry Ford Medical Group and her current practice location is 39450 W 12 Mile Rd, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 344-6688.

Kimberly O'shaughnessy is licensed to practice in Michigan (license number 4704285718) 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 1265053177.

Contact Information

	Kimberly O'shaughnessy,
	39450 W 12 Mile Rd, Novi, MI 48377-3600
	(248) 344-6688
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly O'shaughnessy
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	39450 W 12 Mile Rd, Novi, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly O'shaughnessy graduated from nursing school in 2020

NPI Data:

NPI Number: 1265053177
Provider Enumeration Date: 05/01/2020
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 9931599248
Enrollment ID: I20211130002682

Medical Identifiers

Medical identifiers for Kimberly O'shaughnessy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265053177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0200X	Registered Nurse - Oncology	4704285718 (Michigan)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	4704285718 (Michigan)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	4704285718 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Kimberly O'shaughnessy allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Kimberly O'shaughnessy 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
Kimberly O'shaughnessy, 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Kimberly O'shaughnessy, 39450 W 12 Mile Rd, Novi, MI 48377-3600 Ph: (248) 344-6688

Reviews and Comments

Nurse Practitioner Nurses in Novi, MI

Ashley H Edmonds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41850 W 11 Mile Rd Ste 202, Novi, MI 48375 Phone: 810-429-7859
Jonathan Michael Fleezanis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 Phone: 248-476-0035
Dr. Lorraine Lee Burgunder-zdravkovski, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26850 Providence Pkwy Ste 300, Novi, MI 48374 Phone: 248-766-6513
Lydia Mayes Washington, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 704-637-1182
Jessica Dikhow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26090 Lannys Road, Novi, MI 48375 Phone: 248-200-9420
Justine Bahoura, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42350 Grand River Ave, Novi, MI 48375 Phone: 248-697-2942
Karen Driskill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41850 W 11 Mile Rd Ste 207a, Novi, MI 48375 Phone: 248-860-4634

Kimberly O'shaughnessy, - Medicare Nurse Practitioner in Novi, MI