Ms Shelley Antonucci, NURSE PRACTITIONER in Detroit, MI

Ms Shelley Antonucci, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nephro-care Md, Plc and her current practice location is 17187 Schaefer Hwy, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 960-6605.

Ms Shelley Antonucci is licensed to practice in Michigan (license number 4704261629) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497211338.

Contact Information

	Ms Shelley Antonucci, NURSE PRACTITIONER
	17187 Schaefer Hwy, Detroit, MI 48235-4132
	(313) 960-6605
	(248) 595-8269

Map and Direction

Provider's Profile

Full Name	Ms Shelley Antonucci
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	17187 Schaefer Hwy, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Shelley Antonucci graduated from nursing school in 2017

NPI Data:

NPI Number: 1497211338
Provider Enumeration Date: 02/15/2019
Last Update Date: 02/15/2019

Medicare PECOS Information:

PECOS PAC ID: 5193065290
Enrollment ID: I20190328000735

Medical Identifiers

Medical identifiers for Ms Shelley Antonucci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497211338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704261629 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sinai-grace Hospital	Detroit, MI	Hospital
Harper University Hospital	Detroit, MI	Hospital
Detroit Receiving Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nephro-care Md, Plc	3971813635	6

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 Shelley Antonucci allows following entities to bill medicare on her behalf.

Entity Name	Nephro-care Md, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336510072 PECOS PAC ID: 3971813635 Enrollment ID: O20151109001124

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 Shelley Antonucci 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 Shelley Antonucci, NURSE PRACTITIONER 355 Tyler Road, Lasalle, ONTARIO N9J3X-2 Ph: () -	Ms Shelley Antonucci, NURSE PRACTITIONER 17187 Schaefer Hwy, Detroit, MI 48235-4132 Ph: (313) 960-6605

Reviews and Comments

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Ms Shelley Antonucci, NURSE PRACTITIONER - Medicare Nurse Practitioner in Detroit, MI