Nicholas Philip Garofalo, NNP-BC in Detroit, MI

Nicholas Philip Garofalo, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Detroit, Michigan. His current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-4000.

Nicholas Philip Garofalo is licensed to practice in Michigan (license number 4704287329) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447892070.

Contact Information

	Nicholas Philip Garofalo, NNP-BC
	22101 Moross Rd, Detroit, MI 48236-2148
	(313) 343-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Philip Garofalo
Gender	Male
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	22101 Moross Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447892070
Provider Enumeration Date: 10/15/2019
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 0244651412
Enrollment ID: I20200527000920

Medical Identifiers

Medical identifiers for Nicholas Philip Garofalo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447892070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	4704287329 (Michigan)	Primary
363LN0000X	Nurse Practitioner - Neonatal	4704287329 (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. Nicholas Philip Garofalo allows following entities to bill medicare on his behalf.

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

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. Nicholas Philip Garofalo 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
Nicholas Philip Garofalo, NNP-BC 2800 Livernois Rd Ste 500, Troy, MI 48083-1219 Ph: () -	Nicholas Philip Garofalo, NNP-BC 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-4000

Reviews and Comments

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Elena M Darby, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4921 Fax: 313-343-7091
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Nicholas Philip Garofalo, NNP-BC - Medicare Nurse Practitioner in Detroit, MI