Shannon Brzak, NP-BC in Bloomfield Hills, MI - Medicare Nurse Practitioner

Shannon Brzak, NP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bloomfield Hills, Michigan. Her current practice location is 42557 Woodward Ave Ste 130, Bloomfield Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 454-1004.

Shannon Brzak is licensed to practice in Michigan (license number 4704323358) 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 1891575106.

Contact Information

	Shannon Brzak, NP-BC
	42557 Woodward Ave Ste 130, Bloomfield Hills, MI 48304-5206
	(248) 454-1004
	(833) 450-6345

Map and Direction

Provider's Profile

Full Name	Shannon Brzak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	42557 Woodward Ave Ste 130, Bloomfield Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891575106
Provider Enumeration Date: 10/03/2023
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9931542768
Enrollment ID: I20240208003682

Medical Identifiers

Medical identifiers for Shannon Brzak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891575106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704323358 (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. Shannon Brzak allows following entities to bill medicare on her behalf.

Entity Name	Maan Ekkah Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114484540 PECOS PAC ID: 3870832785 Enrollment ID: O20190311001364

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. Shannon Brzak 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
Shannon Brzak, NP-BC 42557 Woodward Ave Ste 130, Bloomfield Hills, MI 48304-5206 Ph: (248) 454-1004	Shannon Brzak, NP-BC 42557 Woodward Ave Ste 130, Bloomfield Hills, MI 48304-5206 Ph: (248) 454-1004

Reviews and Comments

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Cynthia Kalich Norscia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39520 Woodward Ave Ste 201, Bloomfield Hills, MI 48304 Phone: 855-940-4867
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Shannon Brzak, NP-BC - Medicare Nurse Practitioner in Bloomfield Hills, MI