Mrs Kathleen Anzicek, DO in Grass Lake, MI

Mrs Kathleen Anzicek, DO is a medicare enrolled "Family Medicine" physician in Grass Lake, Michigan. Her current practice location is 12337 E Michigan Ave, Grass Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 522-8403.

Mrs Kathleen Anzicek is licensed to practice in Michigan (license number KA008052) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336240225.

Contact Information

	Mrs Kathleen Anzicek, DO
	12337 E Michigan Ave, Grass Lake, MI 49240-0246
	(517) 522-8403
	(517) 522-4275

Map and Direction

Physician's Profile

Full Name	Mrs Kathleen Anzicek
Gender	Female
Speciality	Family Medicine
Location	12337 E Michigan Ave, Grass Lake, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336240225
Provider Enumeration Date: 09/26/2006
Last Update Date: 05/06/2019

Medicare PECOS Information:

PECOS PAC ID: 7618003989
Enrollment ID: I20100326000198

Medical Identifiers

Medical identifiers for Mrs Kathleen Anzicek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336240225	NPI	-	NPPES
0153800065	Other		BLUE CHOICE
015380065	Other		BCBS FEP PROGRAM
0153800065	Other		BLUE CARE NETWORK
015380065	Other		BCBS COMMUNITY BLUE
0153800065	Other		BCBS PPO
0153800065	Other	MI	BLUE CROSS BLUE SHIELD
0153800065	Other		BCBS BLUE PREFERRED
2126487	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	KA008052 (Michigan)	Primary

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. Mrs Kathleen Anzicek 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
Mrs Kathleen Anzicek, DO Po Box 246, Grass Lake, MI 49240-0246 Ph: (517) 522-8403	Mrs Kathleen Anzicek, DO 12337 E Michigan Ave, Grass Lake, MI 49240-0246 Ph: (517) 522-8403

Reviews and Comments

Family Medicine Doctors in Grass Lake, MI

Dr. Mark E Leventer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12337 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-522-8403 Fax: 517-522-4275
Sandra R Richards, N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12337 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-522-8403 Fax: 866-957-8356
Lauren Paige Sibeck, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12369 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-205-4800
Dr. Katherine A Cox, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12369 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-205-2525 Fax: 531-387-6130

Mrs Kathleen Anzicek, DO - Medicare Family Medicine in Grass Lake, MI