Roland H Gaines Jr, NP in Redford, MI - Medicare Nurse Practitioner

Roland H Gaines Jr, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Redford, Michigan. His current practice location is 14140 Shamrock Dr, Redford, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 858-1246.

Roland H Gaines Jr is licensed to practice in Michigan (license number 4704237964) 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 1073267753.

Contact Information

	Roland H Gaines Jr, NP
	14140 Shamrock Dr, Redford, MI 48239-2995
	(313) 858-1246
	Not Available

Map and Direction

Provider's Profile

Full Name	Roland H Gaines Jr
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	14140 Shamrock Dr, Redford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073267753
Provider Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 7012391386
Enrollment ID: I20220906001231

Medical Identifiers

Medical identifiers for Roland H Gaines Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073267753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	4704237964 (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. Roland H Gaines Jr allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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. Roland H Gaines Jr 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
Roland H Gaines Jr, NP 14140 Shamrock Dr, Redford, MI 48239-2995 Ph: (313) 858-1246	Roland H Gaines Jr, NP 14140 Shamrock Dr, Redford, MI 48239-2995 Ph: (313) 858-1246

Reviews and Comments

Nurse Practitioner Nurses in Redford, MI

Brandie Keskes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055
Dr. Kelly Susewitz Shakoor, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500
Nathan Allen Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4512
Alana Haas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055
Jennifer Crosby, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-998-3030
Mrs. Theresa Player Rowry, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14329 Wormer, Redford, MI 48239 Phone: 313-580-1070

Roland H Gaines Jr, NP - Medicare Nurse Practitioner in Redford, MI