Mr Sorie Alpha Kanu, NURSE PRACTITIONER in Detroit, MI

Mr Sorie Alpha Kanu, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Beaumont Medical Group Hospital Based Services and his current practice location is 261 Mack Ave, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-1203.

Mr Sorie Alpha Kanu is licensed to practice in Michigan (license number 4704290850) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750898938.

Contact Information

	Mr Sorie Alpha Kanu, NURSE PRACTITIONER
	261 Mack Ave, Detroit, MI 48201-2417
	(313) 745-1203
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Sorie Alpha Kanu
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	261 Mack Ave, Detroit, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Sorie Alpha Kanu graduated from nursing school in 2017

NPI Data:

NPI Number: 1750898938
Provider Enumeration Date: 01/09/2018
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9638432461
Enrollment ID: I20180410000098

Medical Identifiers

Medical identifiers for Mr Sorie Alpha Kanu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750898938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704290850 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Medical Group Hospital Based Services	3072875889	464

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. Mr Sorie Alpha Kanu allows following entities to bill medicare on his behalf.

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Mr Sorie Alpha Kanu 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
Mr Sorie Alpha Kanu, NURSE PRACTITIONER 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	Mr Sorie Alpha Kanu, NURSE PRACTITIONER 261 Mack Ave, Detroit, MI 48201-2417 Ph: (313) 745-1203

Reviews and Comments

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Mr Sorie Alpha Kanu, NURSE PRACTITIONER - Medicare Nurse Practitioner in Detroit, MI