Sithara Jaison, NP is a medicare enrolled "Nurse Practitioner - Family" in Whitmore Lake, Michigan. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Michigan Post-acute Medical Services 1 Pc, Mi Pacs 2 Pc and her current practice location is
426 Westbrook, Whitmore Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 550-2002.
Sithara Jaison is licensed to practice in Michigan (license number 4704268025) 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 1982094074.
Provider's Profile
| Full Name | Sithara Jaison |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 426 Westbrook, Whitmore Lake, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sithara Jaison graduated from nursing school in 2014
NPI Data:
- NPI Number: 1982094074
- Provider Enumeration Date: 01/28/2015
- Last Update Date: 02/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113244336
- Enrollment ID: I20150327001967
Medical Identifiers
Medical identifiers for Sithara Jaison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982094074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4704268025 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704268025 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Michigan Post-acute Medical Services 1 Pc | 2163798877 | 29 |
| Mi Pacs 2 Pc | 2264831577 | 7 |
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. Sithara Jaison allows following entities to bill medicare on her behalf.
| Entity Name | Inpatient Consultants Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861442824
PECOS PAC ID: 6709891286
Enrollment ID: O20060221000260 |
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| Entity Name | Michigan Post-acute Medical Services 1 Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669901567
PECOS PAC ID: 2163798877
Enrollment ID: O20171025001292 |
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| Entity Name | Mi Pacs 2 Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205418357
PECOS PAC ID: 2264831577
Enrollment ID: O20210518002473 |
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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. Sithara Jaison 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 |
|---|
Sithara Jaison, NP
426 Westbrook,
Whitmore Lake, MI 48189-8211
Ph: () - | Sithara Jaison, NP
426 Westbrook,
Whitmore Lake, MI 48189-8211
Ph: (734) 550-2002 |
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