Madalyn Rose Baczkowski, DNP, AGPCNP-BC - Medicare Nurse Practitioner in Plymouth, MI

Madalyn Rose Baczkowski, DNP, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Plymouth, Michigan. Her current practice location is 11883 Trailwood Rd, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 928-4851.

Madalyn Rose Baczkowski is licensed to practice in Michigan (license number 4704330114) 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 1114603560.

Contact Information

Madalyn Rose Baczkowski, DNP, AGPCNP-BC
11883 Trailwood Rd,
Plymouth, MI 48170-3730
(248) 928-4851
Not Available

Map and Direction




Provider's Profile

Full NameMadalyn Rose Baczkowski
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location11883 Trailwood Rd, Plymouth, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114603560
  • Provider Enumeration Date: 06/22/2023
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769836295
  • Enrollment ID: I20231002002278

Medical Identifiers

Medical identifiers for Madalyn Rose Baczkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114603560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 4704330114 (Michigan)Secondary
363LP2300XNurse Practitioner - Primary Care 4704330114 (Michigan)Secondary
363LA2200XNurse Practitioner - Adult Health 4704330114 (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. Madalyn Rose Baczkowski allows following entities to bill medicare on her behalf.
Entity NameAdvanced Heart & Vascular Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437511573
PECOS PAC ID: 0941509806
Enrollment ID: O20160427000452

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. Madalyn Rose Baczkowski 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
Madalyn Rose Baczkowski, DNP, AGPCNP-BC
11883 Trailwood Rd,
Plymouth, MI 48170-3730

Ph: (248) 928-4851
Madalyn Rose Baczkowski, DNP, AGPCNP-BC
11883 Trailwood Rd,
Plymouth, MI 48170-3730

Ph: (248) 928-4851

Reviews and Comments


Nurse Practitioner Nurses in Plymouth, MI

Mrs. Brooke Nayak, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 900 W. Ann Arbor Tr, Suite 210, Plymouth, MI 48170
Phone: 734-455-4600    Fax: 734-466-5637
Phyllis Smith,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170
Phone: 574-546-1900    Fax: 574-546-1999
Kimberly Colleen Snowdon, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Thimg Primary Care - Southeast Livonia, 29370 Plymouth Rd Ste 100, Plymouth, MI 48150
Phone: 734-655-8200    Fax: 734-655-8210
Deborah Sue Dunn, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6380 Napier Rd, Plymouth, MI 48170
Phone: 734-451-7553    
Kyle M Farr, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 640 Starkweather St Ste C, Plymouth, MI 48170
Phone: 734-259-2804    Fax: 734-259-2805
Laura Leblanc,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 768 York St, Plymouth, MI 48170
Phone: 810-287-1488    Fax: 734-462-0344

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.