Miss Elaine Marie Mondt, CNNP in Detroit, MI - Medicare Nurse Practitioner

Miss Elaine Marie Mondt, CNNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Division Of Neonatology, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-3146.

Miss Elaine Marie Mondt is licensed to practice in Michigan (license number 4704132208) 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 1871673186.

Contact Information

	Miss Elaine Marie Mondt, CNNP
	2799 W Grand Blvd, Division Of Neonatology, Detroit, MI 48202-2608
	(313) 916-3146
	(313) 916-9485

Map and Direction

Provider's Profile

Full Name	Miss Elaine Marie Mondt
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
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: 1871673186
Provider Enumeration Date: 10/17/2006
Last Update Date: 11/06/2008

Medicare PECOS Information:

PECOS PAC ID: 4082772603
Enrollment ID: I20081024000536

Medical Identifiers

Medical identifiers for Miss Elaine Marie Mondt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871673186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	4704132208 (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. Miss Elaine Marie Mondt 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

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

Entity Name	Henry Ford Macomb Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651

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. Miss Elaine Marie Mondt 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
Miss Elaine Marie Mondt, CNNP 33140 Karin Dr, Apt. 211, Sterling Heights, MI 48310-6250 Ph: (586) 939-6391	Miss Elaine Marie Mondt, CNNP 2799 W Grand Blvd, Division Of Neonatology, Detroit, MI 48202-2608 Ph: (313) 916-3146

Reviews and Comments

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Miss Elaine Marie Mondt, CNNP - Medicare Nurse Practitioner in Detroit, MI