Tara Berenjian, FNP-BC in Grosse Pointe Woods, MI

Tara Berenjian, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Grosse Pointe Woods, Michigan. Her current practice location is 19991 W Emory Ct, Grosse Pointe Woods, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 767-7948.

Tara Berenjian is licensed to practice in Michigan (license number 4704352977) 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 1619696531.

Contact Information

	Tara Berenjian, FNP-BC
	19991 W Emory Ct, Grosse Pointe Woods, MI 48236-2335
	(248) 767-7948
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Berenjian
Gender	Female
Speciality	Nurse Practitioner - Family
Location	19991 W Emory Ct, Grosse Pointe Woods, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619696531
Provider Enumeration Date: 08/24/2022
Last Update Date: 02/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2961871959
Enrollment ID: I20221214001467

Medical Identifiers

Medical identifiers for Tara Berenjian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619696531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704352977 (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. Tara Berenjian 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

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. Tara Berenjian 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
Tara Berenjian, FNP-BC 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Tara Berenjian, FNP-BC 19991 W Emory Ct, Grosse Pointe Woods, MI 48236-2335 Ph: (248) 767-7948

Reviews and Comments

Nurse Practitioner Nurses in Grosse Pointe Woods, MI

Alitha V Glenn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Michigan, 19259 Linville St, Grosse Pointe Woods, MI 48236 Phone: 248-346-6959
Kendall Morgan Rabaut, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20030 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-884-3380 Fax: 313-884-9756
Mrs. Oknang Bartok, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20160 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-8600 Fax: 313-882-0737
Jessica Lynn Kata, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236 Phone: 313-647-3200
Gail M Grunkemeyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236 Phone: 313-884-5522 Fax: 313-884-6054
Dr. Anna F Boston, DNP-ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 23, Grosse Pointe Woods, MI 48236 Phone: 313-647-3252 Fax: 313-647-3349
Amy Stros, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236 Phone: 313-343-3740

Tara Berenjian, FNP-BC - Medicare Nurse Practitioner in Grosse Pointe Woods, MI