Michelle Blackburn Kalousek, in Gardendale, AL

Michelle Blackburn Kalousek, is a medicare enrolled "Nurse Practitioner - Family" in Gardendale, Alabama. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vincentian Physician Services Llc and her current practice location is 960 Rocket Way, Gardendale, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 263-0952.

Michelle Blackburn Kalousek is licensed to practice in Alabama (license number 1-123866) 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 1013503127.

Contact Information

	Michelle Blackburn Kalousek,
	960 Rocket Way, Gardendale, AL 35071-4749
	(205) 263-0952
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle Blackburn Kalousek
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	960 Rocket Way, Gardendale, Alabama
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:

Michelle Blackburn Kalousek graduated from nursing school in 2020

NPI Data:

NPI Number: 1013503127
Provider Enumeration Date: 12/14/2020
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 5597179101
Enrollment ID: I20210121003149

Medical Identifiers

Medical identifiers for Michelle Blackburn Kalousek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013503127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-123866 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vincentian Physician Services Llc	1557548161	74

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. Michelle Blackburn Kalousek allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Vincentian Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851698310 PECOS PAC ID: 1557548161 Enrollment ID: O20110608000452

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. Michelle Blackburn Kalousek 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
Michelle Blackburn Kalousek, 5020 Kerry Downs Rd, Birmingham, AL 35242-3906 Ph: (205) 999-8578	Michelle Blackburn Kalousek, 960 Rocket Way, Gardendale, AL 35071-4749 Ph: (205) 263-0952

Reviews and Comments

Nurse Practitioner Nurses in Gardendale, AL

Judith L Cooley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Fieldstown Rd Ste 104, Gardendale, AL 35071 Phone: 205-631-5521 Fax: 205-631-5540
Jeffrey Seth West, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 960 Rocket Way, Gardendale, AL 35071 Phone: 205-996-1220
Mrs. Hannah Szell, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1326 Main St Ste 116, Gardendale, AL 35071 Phone: 833-746-4325
Ragan Overby, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 Mount Olive Parkway, Gardendale, AL 35071 Phone: 205-934-3411
Alisha L Thacker, DNP, CRNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Fieldstown Rd Ste C, Gardendale, AL 35071 Phone: 205-631-5671 Fax: 205-631-6439
Brittany Steele Tuggle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Dean Dr, Gardendale, AL 35071 Phone: 205-631-8709

Michelle Blackburn Kalousek, - Medicare Nurse Practitioner in Gardendale, AL