Andrea Dunklow, in Traverse City, MI - Medicare Nurse Practitioner

Andrea Dunklow, is a medicare enrolled "Nurse Practitioner - Family" in Traverse City, Michigan. Her current practice location is 1105 6th St, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 947-0673.

Andrea Dunklow is licensed to practice in Michigan (license number 4704252790) 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 1053713479.

Contact Information

	Andrea Dunklow,
	1105 6th St, Traverse City, MI 49684-2349
	(231) 947-0673
	(801) 740-2847

Map and Direction

Provider's Profile

Full Name	Andrea Dunklow
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1105 6th St, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053713479
Provider Enumeration Date: 09/17/2014
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 9133173495
Enrollment ID: I20141031002018

Medical Identifiers

Medical identifiers for Andrea Dunklow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053713479	NPI	-	NPPES
4704252790	Other	MI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704252790 (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. Andrea Dunklow allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

Entity Name	Northwestern Michigan Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073597944 PECOS PAC ID: 7214933928 Enrollment ID: O20061019000359

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. Andrea Dunklow 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
Andrea Dunklow, 4624 N Spider Lake Rd, Traverse City, MI 49696-8440 Ph: (231) 947-0673	Andrea Dunklow, 1105 6th St, Traverse City, MI 49684-2349 Ph: (231) 947-0673

Reviews and Comments

Nurse Practitioner Nurses in Traverse City, MI

Harriet Sue Barner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684 Phone: 231-947-1112
Kellie Ann Herringa, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Karri G Hagan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 Fax: 231-421-7852
Matthew Nathan Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 E River Rd, Traverse City, MI 49696 Phone: 734-730-2793
Carol Jean Sodman, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 E 8th St, Traverse City, MI 49686 Phone: 231-929-1844 Fax: 231-949-2084
Laura A. Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 W Front St, Traverse City, MI 49684 Phone: 231-995-3657

Andrea Dunklow, - Medicare Nurse Practitioner in Traverse City, MI