Mrs Soundra D Mackavich, NP-C in Pontiac, MI - Medicare Nurse Practitioner

Mrs Soundra D Mackavich, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Pontiac, Michigan. Her current practice location is 44405 Woodward Ave, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 858-6591.

Mrs Soundra D Mackavich is licensed to practice in Michigan (license number 2488088) 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 1578891792.

Contact Information

	Mrs Soundra D Mackavich, NP-C
	44405 Woodward Ave, Pontiac, MI 48341-5023
	(248) 858-6591
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Soundra D Mackavich
Gender	Female
Speciality	Nurse Practitioner - Family
Location	44405 Woodward Ave, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578891792
Provider Enumeration Date: 11/29/2009
Last Update Date: 11/29/2009

Medicare PECOS Information:

PECOS PAC ID: 4183748007
Enrollment ID: I20100830000882

Medical Identifiers

Medical identifiers for Mrs Soundra D Mackavich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578891792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2488088 (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 Soundra D Mackavich allows following entities to bill medicare on her behalf.

Entity Name	M15 Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194017673 PECOS PAC ID: 9830363837 Enrollment ID: O20111130000574

Entity Name	M15 Family Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558733204 PECOS PAC ID: 3072818624 Enrollment ID: O20160219001633

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 Soundra D Mackavich 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 Soundra D Mackavich, NP-C 580 Grixdale Ln, Waterford, MI 48328-3430 Ph: (248) 681-3622	Mrs Soundra D Mackavich, NP-C 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (248) 858-6591

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, MI

Marilyn Chandross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3700
Carol D Wilkinson, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6954 Fax: 248-858-3067
Mrs. Dorothy Helen Rodriguez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5210 Fax: 248-338-5584
Cristiana Gherasim, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340 Phone: 248-977-3758
Elsina John, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-605-3502
Ms. Carly Lynn Kassa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5645 Fax: 248-338-5547
Ariola Cacaj Dixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-234-7540 Fax: 248-581-8716

Mrs Soundra D Mackavich, NP-C - Medicare Nurse Practitioner in Pontiac, MI