Dr Jerry Leon Nosanchuk, DO is a medicare enrolled "Family Medicine - Adult Medicine" physician in Bingham Farms, Michigan. He graduated from medical school in 1968 and has 56 years of diverse experience with area of expertise as Family Practice. His current practice location is
31500 Telegraph Rd, Suite 210, Bingham Farms, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 644-7200.
Dr Jerry Leon Nosanchuk is licensed to practice in Michigan (license number 5101005933) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568529931.
Physician's Profile
Full Name | Dr Jerry Leon Nosanchuk |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 56 Years |
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Location | 31500 Telegraph Rd, Bingham Farms, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jerry Leon Nosanchuk graduated from medical school in 1968
NPI Data:
- NPI Number: 1568529931
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638365760
- Enrollment ID: I20101201000111
Medical Identifiers
Medical identifiers for Dr Jerry Leon Nosanchuk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568529931 | NPI | - | NPPES |
0158224424 | Other | MI | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 5101005933 (Michigan) | Primary |
Medical Facilities Affiliation
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. Dr Jerry Leon Nosanchuk allows following entities to bill medicare on his behalf.
Entity Name | Jerry Nosanchuk Do Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023281706 PECOS PAC ID: 7911193313 Enrollment ID: O20101124000774 |
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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. Dr Jerry Leon Nosanchuk 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 |
Dr Jerry Leon Nosanchuk, DO 4545 Northridge Ct, West Bloomfield, MI 48323-1397 Ph: (248) 926-8080 | Dr Jerry Leon Nosanchuk, DO 31500 Telegraph Rd, Suite 210, Bingham Farms, MI 48025-4367 Ph: (248) 644-7200 |
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