Kala Ann Pozivilko, PMHNP-C - Medicare Nurse Practitioner in Mount Clemens, MI

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Kala Ann Pozivilko, PMHNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mount Clemens, Michigan. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice County Of Macomb, Alternative Community Living Inc and her current practice location is 175 N Groesbeck Hwy, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 301-8000.

Kala Ann Pozivilko is licensed to practice in Michigan (license number 2021035112) 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 1669042990.

Contact Information

Kala Ann Pozivilko, PMHNP-C
175 N Groesbeck Hwy,
Mount Clemens, MI 48043-1562
(616) 301-8000
Not Available

Map and Direction




Provider's Profile

Full NameKala Ann Pozivilko
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location175 N Groesbeck Hwy, Mount Clemens, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kala Ann Pozivilko graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1669042990
  • Provider Enumeration Date: 06/29/2021
  • Last Update Date: 06/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345638052
  • Enrollment ID: I20230712003074

Medical Identifiers

Medical identifiers for Kala Ann Pozivilko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669042990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704326670 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2021035112 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Macomb488058140464
Alternative Community Living Inc660886435018

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. Kala Ann Pozivilko allows following entities to bill medicare on her behalf.
Entity NameCounty Of Macomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942532197
PECOS PAC ID: 4880581404
Enrollment ID: O20040301000018
Entity NameAlternative Community Living Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114131729
PECOS PAC ID: 6608864350
Enrollment ID: O20040503001021
Entity NameHope Network West Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679558670
PECOS PAC ID: 5395837603
Enrollment ID: O20070816000328
Entity NameHope Network Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043295934
PECOS PAC ID: 9537251756
Enrollment ID: O20070817000312
Entity NameHope Network S E
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609859537
PECOS PAC ID: 8628159936
Enrollment ID: O20080112000036
Entity NameHope Network - Rehabilitation Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528043544
PECOS PAC ID: 9234231440
Enrollment ID: O20090316000098

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. Kala Ann Pozivilko 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
Kala Ann Pozivilko, PMHNP-C
175 N Groesbeck Hwy,
Mount Clemens, MI 48043-1562

Ph: (616) 301-8000		Kala Ann Pozivilko, PMHNP-C
175 N Groesbeck Hwy,
Mount Clemens, MI 48043-1562

Ph: (616) 301-8000

Reviews and Comments


Nurse Practitioner Nurses in Mount Clemens, MI

Zaira Reeder, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Andrew M Jablonowski, N.P.
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Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8844    Fax: 586-493-8186
Holly Shemami, FNP
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Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Micayla Crockett, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    Fax: 586-493-8799
Mrs. Myele Williamson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043
Phone: 616-301-8000    
Jennifer Goodin, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18 Market St Ste C, Mount Clemens, MI 48043
Phone: 586-783-2222    Fax: 583-783-6380
Mrs. Kathleen Wojda King, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Harrington St, Disease Management, Mount Clemens, MI 48043
Phone: 586-493-8565    Fax: 586-493-8186

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.