Mrs Catherine Therese Ensworth, AGNP-C, PMHNP-BC in Flint, MI

Mrs Catherine Therese Ensworth, AGNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Flint, Michigan. Her current practice location is 4800 S Saginaw St Ste 1900, Flint, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 484-8699.

Mrs Catherine Therese Ensworth is licensed to practice in Michigan (license number 4704196169) 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 1629687785.

Contact Information

	Mrs Catherine Therese Ensworth, AGNP-C, PMHNP-BC
	4800 S Saginaw St Ste 1900, Flint, MI 48507-2677
	(586) 484-8699
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Catherine Therese Ensworth
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4800 S Saginaw St Ste 1900, Flint, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629687785
Provider Enumeration Date: 07/24/2020
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7911389408
Enrollment ID: I20220730000138

Medical Identifiers

Medical identifiers for Mrs Catherine Therese Ensworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629687785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704196169 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704196169 (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 Catherine Therese Ensworth allows following entities to bill medicare on her behalf.

Entity Name	Jawad A Shah, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798

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 Catherine Therese Ensworth 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 Catherine Therese Ensworth, AGNP-C, PMHNP-BC 50721 Pinnacle Woods Ln, Macomb, MI 48042-5535 Ph: (586) 484-8699	Mrs Catherine Therese Ensworth, AGNP-C, PMHNP-BC 4800 S Saginaw St Ste 1900, Flint, MI 48507-2677 Ph: (586) 484-8699

Reviews and Comments

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Mrs Catherine Therese Ensworth, AGNP-C, PMHNP-BC - Medicare Nurse Practitioner in Flint, MI