Ms Carly Lynn Kassa, in Pontiac, MI - Medicare Nurse Practitioner

Ms Carly Lynn Kassa, is a medicare enrolled "Nurse Practitioner - Gerontology" in Pontiac, Michigan. Her current practice location is 50 N Perry St, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 338-5645.

Ms Carly Lynn Kassa is licensed to practice in Michigan (license number 4704297338) 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 1083106140.

Contact Information

	Ms Carly Lynn Kassa,
	50 N Perry St, Pontiac, MI 48342-2217
	(248) 338-5645
	(248) 338-5547

Map and Direction

Provider's Profile

Full Name	Ms Carly Lynn Kassa
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	50 N Perry St, 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: 1083106140
Provider Enumeration Date: 06/05/2018
Last Update Date: 06/05/2018

Medicare PECOS Information:

PECOS PAC ID: 3971859687
Enrollment ID: I20180711002005

Medical Identifiers

Medical identifiers for Ms Carly Lynn Kassa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083106140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704297338 (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. Ms Carly Lynn Kassa allows following entities to bill medicare on her behalf.

Entity Name	Fadi Salloum Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053510446 PECOS PAC ID: 2062503584 Enrollment ID: O20070813000088

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. Ms Carly Lynn Kassa 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
Ms Carly Lynn Kassa, 232 Grace Avuenue, Rochester Hills, MI 48307 Ph: (248) 227-2897	Ms Carly Lynn Kassa, 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5645

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
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

Ms Carly Lynn Kassa, - Medicare Nurse Practitioner in Pontiac, MI