Mrs Elizabeth Revere Mcmahan, AGPCNP-BC in Grand Blanc, MI

Mrs Elizabeth Revere Mcmahan, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Grand Blanc, Michigan. Her current practice location is 9450 S Saginaw Rd Ste E, Grand Blanc, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 695-4000.

Mrs Elizabeth Revere Mcmahan is licensed to practice in Michigan (license number 4704318459) 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 1013786128.

Contact Information

	Mrs Elizabeth Revere Mcmahan, AGPCNP-BC
	9450 S Saginaw Rd Ste E, Grand Blanc, MI 48439-8206
	(810) 695-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Elizabeth Revere Mcmahan
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	9450 S Saginaw Rd Ste E, Grand Blanc, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013786128
Provider Enumeration Date: 12/29/2023
Last Update Date: 12/02/2024

Medicare PECOS Information:

PECOS PAC ID: 4082147970
Enrollment ID: I20241210003067

Medical Identifiers

Medical identifiers for Mrs Elizabeth Revere Mcmahan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013786128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704318459 (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 Elizabeth Revere Mcmahan allows following entities to bill medicare on her behalf.

Entity Name	Michigan Lung And Critical Care Specialists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013948686 PECOS PAC ID: 9032197017 Enrollment ID: O20040708000274

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 Elizabeth Revere Mcmahan 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 Elizabeth Revere Mcmahan, AGPCNP-BC 9450 S Saginaw Rd Ste E, Grand Blanc, MI 48439-8206 Ph: (810) 695-4000	Mrs Elizabeth Revere Mcmahan, AGPCNP-BC 9450 S Saginaw Rd Ste E, Grand Blanc, MI 48439-8206 Ph: (810) 695-4000

Reviews and Comments

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Mrs Elizabeth Revere Mcmahan, AGPCNP-BC - Medicare Nurse Practitioner in Grand Blanc, MI