Lance Raymond Woody, AGACNP-BC in Detroit, MI

Lance Raymond Woody, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Detroit, Michigan. His current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-3605.

Lance Raymond Woody is licensed to practice in Michigan (license number 4704273806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699296772.

Contact Information

	Lance Raymond Woody, AGACNP-BC
	22101 Moross Rd, Detroit, MI 48236-2148
	(313) 343-3605
	Not Available

Map and Direction

Provider's Profile

Full Name	Lance Raymond Woody
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	22101 Moross Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699296772
Provider Enumeration Date: 06/29/2017
Last Update Date: 09/02/2022

Medicare PECOS Information:

PECOS PAC ID: 4183955511
Enrollment ID: I20191015003261

Medical Identifiers

Medical identifiers for Lance Raymond Woody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699296772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704273806 (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. Lance Raymond Woody allows following entities to bill medicare on his behalf.

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

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. Lance Raymond Woody 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
Lance Raymond Woody, AGACNP-BC 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-3605	Lance Raymond Woody, AGACNP-BC 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-3605

Reviews and Comments

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Lance Raymond Woody, AGACNP-BC - Medicare Nurse Practitioner in Detroit, MI