Normita Davila Vicencio, MD - Medicare Internal Medicine in Wayne, MI

Normita Davila Vicencio, MD is a medicare enrolled "Internal Medicine" physician in Wayne, Michigan. Her current practice location is 4020 Venoy Road, Suite 300, Wayne, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 728-2909.

Normita Davila Vicencio is licensed to practice in Michigan (license number NV032288) 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 1700973385.

Contact Information

Normita Davila Vicencio, MD
4020 Venoy Road, Suite 300,
Wayne, MI 48184
(734) 728-2909
(734) 728-3015

Map and Direction




Physician's Profile

Full NameNormita Davila Vicencio
GenderFemale
SpecialityInternal Medicine
Location4020 Venoy Road, Wayne, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700973385
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 08/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4486754603
  • Enrollment ID: I20070717000228

Medical Identifiers

Medical identifiers for Normita Davila Vicencio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700973385NPI-NPPES
170375810MedicaidMI
1108258662OtherBCBSM
110154734OtherMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine NV032288 (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. Normita Davila Vicencio allows following entities to bill medicare on her behalf.
Entity NameNormita Vicencio Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841493616
PECOS PAC ID: 7113019803
Enrollment ID: O20070827000246

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. Normita Davila Vicencio 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 AddressPractice Location Address
Normita Davila Vicencio, MD
4020 Venoy Road, Suite 300,
Wayne, MI 48184

Ph: (734) 728-2909
Normita Davila Vicencio, MD
4020 Venoy Road, Suite 300,
Wayne, MI 48184

Ph: (734) 728-2909

Reviews and Comments


Internal Medicine Doctors in Wayne, MI

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Dr. Kavitha Ponduri, M.D.
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Practice Location: 34659 W Michigan Ave, Wayne, MI 48184
Phone: 734-722-2400    Fax: 734-722-1709

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.