Guillermina Nava, MD - Medicare Plastic And Reconstructive Surgery in Detroit, MI

Guillermina Nava, MD is a medicare enrolled "Plastic Surgery" physician in Detroit, Michigan. She went to University Of Rochester School Of Medicine And Dentistry and graduated in 2001 and has 23 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice University Physician Group and her current practice location is 4160 John R St, Suite 615, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-4195.

Guillermina Nava is licensed to practice in Michigan (license number 4301093488) 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 1164631024.

Contact Information

Guillermina Nava, MD
4160 John R St, Suite 615,
Detroit, MI 48201-2020
(313) 745-4195
(313) 993-8669

Map and Direction




Physician's Profile

Full NameGuillermina Nava
GenderFemale
SpecialityPlastic And Reconstructive Surgery
Experience23 Years
Location4160 John R St, Detroit, 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:
  • Guillermina Nava attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2001
  NPI Data:
  • NPI Number: 1164631024
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 09/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6709977275
  • Enrollment ID: I20090116000457

Medical Identifiers

Medical identifiers for Guillermina Nava such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164631024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 35-089408 (Ohio)Secondary
208200000XPlastic Surgery 4301093488 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Harper University HospitalDetroit, MIHospital
Karmanos Cancer CenterDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Physician Group8628087681345

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. Guillermina Nava allows following entities to bill medicare on her behalf.
Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518

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. Guillermina Nava 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
Guillermina Nava, MD
1560 E Maple Rd, Suite 400 - Credentialing,
Troy, MI 48083-1189

Ph: (248) 581-5974
Guillermina Nava, MD
4160 John R St, Suite 615,
Detroit, MI 48201-2020

Ph: (313) 745-4195

Reviews and Comments


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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.