Masoumeh Khosraviardakani, NP in Detroit, MI - Medicare Nurse Practitioner

Masoumeh Khosraviardakani, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Detroit, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Physician Group and her current practice location is 4201 Saint Antoine St Ste 8d, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-4275.

Masoumeh Khosraviardakani is licensed to practice in Michigan (license number 4704276401) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467008086.

Contact Information

	Masoumeh Khosraviardakani, NP
	4201 Saint Antoine St Ste 8d, Detroit, MI 48201-2153
	(313) 745-4275
	(313) 577-4641

Map and Direction

Provider's Profile

Full Name	Masoumeh Khosraviardakani
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	4201 Saint Antoine St Ste 8d, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Masoumeh Khosraviardakani graduated from nursing school in 2017

NPI Data:

NPI Number: 1467008086
Provider Enumeration Date: 08/11/2019
Last Update Date: 08/11/2019

Medicare PECOS Information:

PECOS PAC ID: 6709118649
Enrollment ID: I20191028000502

Medical Identifiers

Medical identifiers for Masoumeh Khosraviardakani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467008086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704276401 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Harper University Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Physician Group	8628087681	341

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. Masoumeh Khosraviardakani allows following entities to bill medicare on her behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Masoumeh Khosraviardakani 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
Masoumeh Khosraviardakani, NP 732 Eagle Ave, Ann Arbor, MI 48103-8887 Ph: (734) 255-0349	Masoumeh Khosraviardakani, NP 4201 Saint Antoine St Ste 8d, Detroit, MI 48201-2153 Ph: (313) 745-4275

Reviews and Comments

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Masoumeh Khosraviardakani, NP - Medicare Nurse Practitioner in Detroit, MI