Marlene Louise Petrovich, MSN in Brownstown Twp, MI

Marlene Louise Petrovich, MSN is a medicare enrolled "Nurse Practitioner - Women's Health" in Brownstown Twp, Michigan. Her current practice location is 23050 West Rd, Suite210, Brownstown Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 362-7000.

Marlene Louise Petrovich is licensed to practice in Michigan (license number 4704100811) 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 1750404612.

Contact Information

	Marlene Louise Petrovich, MSN
	23050 West Rd, Suite210, Brownstown Twp, MI 48183-1472
	(734) 362-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Marlene Louise Petrovich
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	23050 West Rd, Brownstown Twp, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750404612
Provider Enumeration Date: 04/07/2007
Last Update Date: 02/22/2017

Medicare PECOS Information:

PECOS PAC ID: 5496074031
Enrollment ID: I20150504002170

Medical Identifiers

Medical identifiers for Marlene Louise Petrovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750404612	NPI	-	NPPES
1144634403	Other		GROUP NPI HENRY FORD WYANDOTTE
0H28865	Other	MI	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	4704100811 (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. Marlene Louise Petrovich allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Wyandotte Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431

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. Marlene Louise Petrovich 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
Marlene Louise Petrovich, MSN 1640 Fort St, Suite D Attn Denise, Trenton, MI 48183-2040 Ph: (734) 391-3057	Marlene Louise Petrovich, MSN 23050 West Rd, Suite210, Brownstown Twp, MI 48183-1472 Ph: (734) 362-7000

Reviews and Comments

Nurse Practitioner Nurses in Brownstown Twp, MI

Carolyn Pilzninski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19135 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-362-9032 Fax: 734-362-9001
Mrs. Caitlin Marie Flis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19725 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-479-7746
Jill Marie Ciszewski, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27278 Roney Ave, Brownstown Twp, MI 48183 Phone: 734-552-6526
Alissa Becker, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19725 Allen Rd, Ste 102, Brownstown Twp, MI 48183 Phone: 734-479-7246 Fax: 734-479-0214
Seija Olivier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19725 Allen Rd Ste 101, Brownstown Twp, MI 48183 Phone: 734-479-2371 Fax: 734-479-2451
Lynnette Waara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183 Phone: 888-854-1397
Mrs. Jeanine Rose Ursing, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19725 Allen Rd, Suite 101, Brownstown Twp, MI 48183 Phone: 734-479-2371

Marlene Louise Petrovich, MSN - Medicare Nurse Practitioner in Brownstown Twp, MI