Mrs Elzbieta Wieslawa Baba, DNP in Southgate, MI

Mrs Elzbieta Wieslawa Baba, DNP is a medicare enrolled "Nurse Practitioner - Family" in Southgate, Michigan. Her current practice location is 15450 Northline Rd. Suite 101, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 225-1315.

Mrs Elzbieta Wieslawa Baba is licensed to practice in Michigan (license number 4704294575) 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 1255859195.

Contact Information

	Mrs Elzbieta Wieslawa Baba, DNP
	15450 Northline Rd. Suite 101, Southgate, MI 48195-7952
	(734) 225-1315
	(877) 892-4080

Map and Direction

Provider's Profile

Full Name	Mrs Elzbieta Wieslawa Baba
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15450 Northline Rd. Suite 101, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255859195
Provider Enumeration Date: 08/30/2017
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 9436503869
Enrollment ID: I20231003003195

Medical Identifiers

Medical identifiers for Mrs Elzbieta Wieslawa Baba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255859195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704294575 (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 Elzbieta Wieslawa Baba allows following entities to bill medicare on her behalf.

Entity Name	Hazel Park Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306407440 PECOS PAC ID: 2961731997 Enrollment ID: O20190917000580

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 Elzbieta Wieslawa Baba 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 Elzbieta Wieslawa Baba, DNP 14600 King Rd # A, Riverview, MI 48193-7952 Ph: (734) 479-7800	Mrs Elzbieta Wieslawa Baba, DNP 15450 Northline Rd. Suite 101, Southgate, MI 48195-7952 Ph: (734) 225-1315

Reviews and Comments

Nurse Practitioner Nurses in Southgate, MI

Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15150 Fort St, Southgate, MI 48195 Phone: 734-282-4800 Fax: 734-282-9302
Mrs. Dana Lara Wolfe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16525 Fort St, Southgate, MI 48195 Phone: 734-250-9529
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156
Michelle Lorraine Pardee, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-287-2076 Fax: 734-287-2731
Marie Elizabeth Manteuffel, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 Fax: 734-250-9072
Kaitlin Dughlas, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616
Mrs. Deborah Jane Collier-barstad, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15255 Northline Rd, Southgate, MI 48195 Phone: 734-285-3090 Fax: 734-285-3095

Mrs Elzbieta Wieslawa Baba, DNP - Medicare Nurse Practitioner in Southgate, MI