Mrs Mary Clarissa R Salvaggio, NP in Hazel Park, MI

Mrs Mary Clarissa R Salvaggio, NP is a medicare enrolled "Nurse Practitioner" in Hazel Park, Michigan. Her current practice location is 24013 Vance Ave, Hazel Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 860-1754.

Mrs Mary Clarissa R Salvaggio is licensed to practice in Michigan (license number 4704289245) 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 1053032698.

Contact Information

	Mrs Mary Clarissa R Salvaggio, NP
	24013 Vance Ave, Hazel Park, MI 48030-1218
	(248) 860-1754
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Clarissa R Salvaggio
Gender	Female
Speciality	Nurse Practitioner
Location	24013 Vance Ave, Hazel Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053032698
Provider Enumeration Date: 09/12/2022
Last Update Date: 10/06/2022

Medicare PECOS Information:

PECOS PAC ID: 7911373758
Enrollment ID: I20221019000282

Medical Identifiers

Medical identifiers for Mrs Mary Clarissa R Salvaggio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053032698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704289245 (Michigan)	Primary
164W00000X	Licensed Practical Nurse	4704289245 (Michigan)	Secondary

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 Mary Clarissa R Salvaggio allows following entities to bill medicare on her behalf.

Entity Name	Professional Emergency Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326235698 PECOS PAC ID: 3870493588 Enrollment ID: O20040504001470

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 Mary Clarissa R Salvaggio 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 Mary Clarissa R Salvaggio, NP 24013 Vance Ave, Hazel Park, MI 48030-1218 Ph: (248) 860-1754	Mrs Mary Clarissa R Salvaggio, NP 24013 Vance Ave, Hazel Park, MI 48030-1218 Ph: (248) 860-1754

Reviews and Comments

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Mrs Mary Clarissa R Salvaggio, NP - Medicare Nurse Practitioner in Hazel Park, MI