Soona Kothawala, in Rochester, MI - Medicare Nurse Practitioner

Soona Kothawala, is a medicare enrolled "Nurse Practitioner - Acute Care" in Rochester, Michigan. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry Ford Medical Group and her current practice location is 1101 W University Dr, Rochester, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 601-6176.

Soona Kothawala is licensed to practice in Michigan (license number 4704214560) 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 1326369885.

Contact Information

	Soona Kothawala,
	1101 W University Dr, Rochester, MI 48307-1863
	(248) 601-6176
	Not Available

Map and Direction

Provider's Profile

Full Name	Soona Kothawala
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	1101 W University Dr, Rochester, 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:

Soona Kothawala graduated from nursing school in 2005

NPI Data:

NPI Number: 1326369885
Provider Enumeration Date: 06/18/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6103013644
Enrollment ID: I20101209000235

Medical Identifiers

Medical identifiers for Soona Kothawala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326369885	NPI	-	NPPES
PENDING	Other	MI	BLUE CROSS BLUE SHEILD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704214560 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford West Bloomfield Hospital	West bloomfield, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Soona Kothawala allows following entities to bill medicare on her 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

Entity Name	Henry Ford Wyandotte Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431

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. Soona Kothawala 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
Soona Kothawala, 907 Wyandotte Ave, Royal Oak, MI 48067-4517 Ph: () -	Soona Kothawala, 1101 W University Dr, Rochester, MI 48307-1863 Ph: (248) 601-6176

Reviews and Comments

Nurse Practitioner Nurses in Rochester, MI

Elvedina Ribic, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W University Dr Ste 100, Rochester, MI 48307 Phone: 248-824-2570
Ms. Margaret Glembocki, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5813 Fax: 248-650-9160
Gail Lynn Eddy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000
William E Schlicklin, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000
Christie Marie Rivard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 N Squirrel Rd, Rochester, MI 48309 Phone: 248-370-2100
Kelly Scott, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 W University Dr Ste 425, Rochester, MI 48307 Phone: 248-650-5861 Fax: 248-650-5865
Mrs. Lisa Marie Thomas, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 528 Bloomer Ridge Dr, Rochester, MI 48307 Phone: 586-719-0783

Soona Kothawala, - Medicare Nurse Practitioner in Rochester, MI