Mrs Andrea Constance Douglas, FNP in Wixom, MI

Mrs Andrea Constance Douglas, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wixom, Michigan. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Care Team-primary Care Providers Pllc and her current practice location is 100 Meadows Cir S, Wixom, Michigan. You can reach out to her office (for appointments etc.) via phone at (947) 800-6017.

Mrs Andrea Constance Douglas is licensed to practice in Michigan (license number 2021117524) 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 1780344226.

Contact Information

	Mrs Andrea Constance Douglas, FNP
	100 Meadows Cir S, Wixom, MI 48393-3950
	(947) 800-6017
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Andrea Constance Douglas
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	100 Meadows Cir S, Wixom, Michigan
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:

Mrs Andrea Constance Douglas graduated from nursing school in 2021

NPI Data:

NPI Number: 1780344226
Provider Enumeration Date: 12/24/2021
Last Update Date: 12/24/2021

Medicare PECOS Information:

PECOS PAC ID: 1850783168
Enrollment ID: I20220119000413

Medical Identifiers

Medical identifiers for Mrs Andrea Constance Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780344226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2021117524 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Care Team-primary Care Providers Pllc	9133588346	7

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 Andrea Constance Douglas allows following entities to bill medicare on her behalf.

Entity Name	Fadi Salloum Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053510446 PECOS PAC ID: 2062503584 Enrollment ID: O20070813000088

Entity Name	Mercy Hospitalists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790340958 PECOS PAC ID: 8921338237 Enrollment ID: O20191001000147

Entity Name	The Care Team-primary Care Providers Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710699624 PECOS PAC ID: 9133588346 Enrollment ID: O20230706002503

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 Andrea Constance Douglas 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 Andrea Constance Douglas, FNP 100 Meadows Cir S, Wixom, MI 48393-3950 Ph: (947) 800-6017	Mrs Andrea Constance Douglas, FNP 100 Meadows Cir S, Wixom, MI 48393-3950 Ph: (947) 800-6017

Reviews and Comments

Nurse Practitioner Nurses in Wixom, MI

Dayna Race Fabrey, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28345 Beck Rd Ste 110, Wixom, MI 48393 Phone: 248-274-5670
Lindsay Ann Tarachowski, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1433 Waters Edge Ct, Wixom, MI 48393 Phone: 248-974-5883
Dr. Kristin Benit Ahrens, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1369 Flamingo, Wixom, MI 48393 Phone: 248-921-1557
Mrs. Jamie Waite, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28345 Beck Rd Ste 412, Wixom, MI 48393 Phone: 616-402-9687
Sheel Vipul Patel, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28345 Beck Rd, Wixom, MI 48393 Phone: 734-600-7873
Tara Lewis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4706 Product Dr, Wixom, MI 48393 Phone: 248-567-2334

Mrs Andrea Constance Douglas, FNP - Medicare Nurse Practitioner in Wixom, MI