Mrs Samantha Michelle Kaczmarek, FNP-BC in Troy, MI

Mrs Samantha Michelle Kaczmarek, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Troy, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Custom Hospice, Llc and her current practice location is 888 W. Big Beaver Rd. Ste 900, Troy, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 629-2880.

Mrs Samantha Michelle Kaczmarek is licensed to practice in Michigan (license number 4704311772) 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 1154968667.

Contact Information

	Mrs Samantha Michelle Kaczmarek, FNP-BC
	888 W. Big Beaver Rd. Ste 900, Troy, MI 48084
	(248) 629-2880
	(248) 319-6493

Map and Direction

Provider's Profile

Full Name	Mrs Samantha Michelle Kaczmarek
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	888 W. Big Beaver Rd. Ste 900, Troy, 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:

Mrs Samantha Michelle Kaczmarek graduated from nursing school in 2019

NPI Data:

NPI Number: 1154968667
Provider Enumeration Date: 12/03/2019
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4587098363
Enrollment ID: I20200103000109

Medical Identifiers

Medical identifiers for Mrs Samantha Michelle Kaczmarek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154968667	NPI	-	NPPES
14589057	Other	MI	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704311772 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704311772 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Custom Hospice, Llc	8820242993	2

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 Samantha Michelle Kaczmarek 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

Entity Name	Custom Hospice, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306480538 PECOS PAC ID: 8820242993 Enrollment ID: O20191211003133

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 Samantha Michelle Kaczmarek 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 Samantha Michelle Kaczmarek, FNP-BC 888 W. Big Beaver Rd. Ste 900, Troy, MI 48084 Ph: (248) 629-2880	Mrs Samantha Michelle Kaczmarek, FNP-BC 888 W. Big Beaver Rd. Ste 900, Troy, MI 48084 Ph: (248) 629-2880

Reviews and Comments

Nurse Practitioner Nurses in Troy, MI

Melissa Baker, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Corporate Dr, Troy, MI 48098 Phone: 866-902-5854
Dr. Martha M Sturgeon, DNP ACNS-BC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6963 Killarney Dr, Troy, MI 48098 Phone: 248-879-2871
Kristen M Light, DNP, RN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000
Mrs. Kimberly Anne Fox, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2041 E Square Lake Rd Ste 300, Troy, MI 48085 Phone: 248-813-0124 Fax: 248-879-0148
Ellen Tan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3290 W Big Beaver Rd Ste 150, Troy, MI 48084 Phone: 248-792-6527
Mrs. Bernadette Sarah Below, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2095 E Big Beaver Rd Ste 375, Troy, MI 48083 Phone: 248-705-6223 Fax: 248-253-1462
Brian August Prize, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-303-4832

Mrs Samantha Michelle Kaczmarek, FNP-BC - Medicare Nurse Practitioner in Troy, MI