Kristen Marie Dessouki, NP in Redford, MI - Medicare Nurse Practitioner

Kristen Marie Dessouki, NP is a medicare enrolled "Nurse Practitioner" in Redford, Michigan. Her current practice location is 17190 Lennane, Redford, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 704-2954.

Kristen Marie Dessouki is licensed to practice in Michigan (license number 4704276440) 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 1700508512.

Contact Information

	Kristen Marie Dessouki, NP
	17190 Lennane, Redford, MI 48240-2130
	(313) 704-2954
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristen Marie Dessouki
Gender	Female
Speciality	Nurse Practitioner
Location	17190 Lennane, Redford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700508512
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1456721463
Enrollment ID: I20230110000289

Medical Identifiers

Medical identifiers for Kristen Marie Dessouki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700508512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704276440 (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. Kristen Marie Dessouki allows following entities to bill medicare on her behalf.

Entity Name	Above & Beyond Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255013553 PECOS PAC ID: 3375992357 Enrollment ID: O20231215002608

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. Kristen Marie Dessouki 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
Kristen Marie Dessouki, NP 17190 Lennane, Redford, MI 48240-2130 Ph: (313) 704-2954	Kristen Marie Dessouki, NP 17190 Lennane, Redford, MI 48240-2130 Ph: (313) 704-2954

Reviews and Comments

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Kristen Marie Dessouki, NP - Medicare Nurse Practitioner in Redford, MI