Michael Jerome Bausano, SOCIAL WORKER is a medicare enrolled "Social Worker - Clinical" provider in Canadian Lakes, Michigan. His current practice location is
6713 Sunset Ln, Canadian Lakes, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 598-0894.
Michael Jerome Bausano is licensed to practice in Michigan (license number 6801069870) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255877965.
Healthcare Provider's Profile
| Full Name | Michael Jerome Bausano |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 6713 Sunset Ln, Canadian Lakes, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255877965
- Provider Enumeration Date: 01/19/2017
- Last Update Date: 04/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911411186
- Enrollment ID: I20250709002771
Medical Identifiers
Medical identifiers for Michael Jerome Bausano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255877965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6801069870 (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. Michael Jerome Bausano allows following entities to bill medicare on his behalf.
| Entity Name | Resilience North LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538052014 PECOS PAC ID: 6103330378 Enrollment ID: O20250709002642 |
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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. Michael Jerome Bausano 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 |
Michael Jerome Bausano, SOCIAL WORKER 6713 Sunset Ln, Canadian Lakes, MI 49346-8832 Ph: (231) 598-0894 | Michael Jerome Bausano, SOCIAL WORKER 6713 Sunset Ln, Canadian Lakes, MI 49346-8832 Ph: (231) 598-0894 |
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