Mallory Clare Lueck, FNP-BC in Detroit, MI - Medicare Nurse Practitioner

Mallory Clare Lueck, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-2600.

Mallory Clare Lueck is licensed to practice in Michigan (license number 4704363402) 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 1881448314.

Contact Information

	Mallory Clare Lueck, FNP-BC
	2799 W Grand Blvd, Detroit, MI 48202-2689
	(313) 916-2600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Clare Lueck
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2799 W Grand Blvd, 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: 1881448314
Provider Enumeration Date: 04/12/2024
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1759722960
Enrollment ID: I20240517002691

Medical Identifiers

Medical identifiers for Mallory Clare Lueck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881448314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704363402 (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. Mallory Clare Lueck 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

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. Mallory Clare Lueck 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
Mallory Clare Lueck, FNP-BC 1709 N Vermont Ave, Royal Oak, MI 48067-1462 Ph: (586) 556-1609	Mallory Clare Lueck, FNP-BC 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (313) 916-2600

Reviews and Comments

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Mallory Clare Lueck, FNP-BC - Medicare Nurse Practitioner in Detroit, MI