Mrs Alexandra Rupp Hagerman, MSN, APRN, FNP-C in Pontiac, MI

Mrs Alexandra Rupp Hagerman, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pontiac, Michigan. Her current practice location is 461 W Huron St Ste 103, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 724-7600.

Mrs Alexandra Rupp Hagerman is licensed to practice in Michigan (license number 4704352134) 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 1629569595.

Contact Information

	Mrs Alexandra Rupp Hagerman, MSN, APRN, FNP-C
	461 W Huron St Ste 103, Pontiac, MI 48341-1601
	(248) 724-7600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alexandra Rupp Hagerman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	461 W Huron St Ste 103, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629569595
Provider Enumeration Date: 05/25/2018
Last Update Date: 09/23/2022

Medicare PECOS Information:

PECOS PAC ID: 5890025175
Enrollment ID: I20190930002290

Medical Identifiers

Medical identifiers for Mrs Alexandra Rupp Hagerman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629569595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	112605 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	7630 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	4704352134 (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. Mrs Alexandra Rupp Hagerman 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 Health System-school Based Health Initiative
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104010578 PECOS PAC ID: 3072875517 Enrollment ID: O20180322000407

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. Mrs Alexandra Rupp Hagerman 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
Mrs Alexandra Rupp Hagerman, MSN, APRN, FNP-C 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Mrs Alexandra Rupp Hagerman, MSN, APRN, FNP-C 461 W Huron St Ste 103, Pontiac, MI 48341-1601 Ph: (248) 724-7600

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, MI

Marilyn Chandross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3700
Carol D Wilkinson, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6954 Fax: 248-858-3067
Mrs. Dorothy Helen Rodriguez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5210 Fax: 248-338-5584
Cristiana Gherasim, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340 Phone: 248-977-3758
Elsina John, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-605-3502
Ms. Carly Lynn Kassa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5645 Fax: 248-338-5547
Ariola Cacaj Dixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-234-7540 Fax: 248-581-8716

Mrs Alexandra Rupp Hagerman, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Pontiac, MI