Pivotal Integrative Medicine Pllc is a medicare enrolled "Nurse Practitioner" provider in Ypsilanti, Michigan. Their current practice location is
5413 Whittaker Rd, Ypsilanti, Michigan. You can reach out to their office (for appointments etc.) via phone at
(731) 961-9977.
Pivotal Integrative Medicine Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pivotal Integrative Medicine Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1982429908.
Healthcare Provider's Profile
| Full Name | Pivotal Integrative Medicine Pllc |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 5413 Whittaker Rd, Ypsilanti, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982429908
- Provider Enumeration Date: 11/15/2024
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769905843
- Enrollment ID: O20250329000108
Medical Identifiers
Medical identifiers for Pivotal Integrative Medicine Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982429908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pivotal Integrative Medicine Pllc acts as a billing entity for following providers:
| Provider Name | Katarzyna L Kruger |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1881736361 PECOS PAC ID: 8527969948 Enrollment ID: I20040119000399 |
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| Provider Name | Mark J Kruger |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1447312764 PECOS PAC ID: 3476454703 Enrollment ID: I20040119000519 |
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| Provider Name | Jang-en Sarah Lin |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1518711670 PECOS PAC ID: 2567998982 Enrollment ID: I20241209003865 |
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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. Pivotal Integrative Medicine Pllc 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 |
Pivotal Integrative Medicine Pllc 5413 Whittaker Rd, Ypsilanti, MI 48197-9751 Ph: (731) 961-9977 | Pivotal Integrative Medicine Pllc 5413 Whittaker Rd, Ypsilanti, MI 48197-9751 Ph: (731) 961-9977 |
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