Mia Love, CPNP in Detroit, MI - Medicare Nurse Practitioner

Mia Love, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Detroit, Michigan. Her current practice location is 2959 Martin Luther King Jr Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 463-2037.

Mia Love is licensed to practice in Michigan (license number 4704264783) 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 1295079895.

Contact Information

	Mia Love, CPNP
	2959 Martin Luther King Jr Blvd, Detroit, MI 48208
	(313) 463-2037
	(313) 463-2201

Map and Direction

Provider's Profile

Full Name	Mia Love
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2959 Martin Luther King Jr 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: 1295079895
Provider Enumeration Date: 11/20/2012
Last Update Date: 01/18/2019

Medicare PECOS Information:

PECOS PAC ID: 9931349883
Enrollment ID: I20130717000417

Medical Identifiers

Medical identifiers for Mia Love such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295079895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	4704264783 (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. Mia Love allows following entities to bill medicare on her behalf.

Entity Name	Ascension Southeast Michigan Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235395195 PECOS PAC ID: 3577843838 Enrollment ID: O20161205000396

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. Mia Love 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
Mia Love, CPNP 2959 Martin Luther King Jr Blvd, Detroit, MI 48208-2475 Ph: (313) 463-2037	Mia Love, CPNP 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 Ph: (313) 463-2037

Reviews and Comments

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Mia Love, CPNP - Medicare Nurse Practitioner in Detroit, MI