Phyllis Adolphus Nelson, in Ferndale, MI - Medicare Family Medicine

Phyllis Adolphus Nelson, is a medicare enrolled "Family Medicine" physician in Ferndale, Michigan. Her current practice location is 362 E Troy St Uppr, Ferndale, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 404-0761.

Phyllis Adolphus Nelson is licensed to practice in Michigan (license number 4704184714) 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 1679114805.

Contact Information

	Phyllis Adolphus Nelson,
	362 E Troy St Uppr, Ferndale, MI 48220-2851
	(313) 404-0761
	Not Available

Map and Direction

Physician's Profile

Full Name	Phyllis Adolphus Nelson
Gender	Female
Speciality	Family Medicine
Location	362 E Troy St Uppr, Ferndale, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679114805
Provider Enumeration Date: 09/29/2019
Last Update Date: 09/29/2019

Medicare PECOS Information:

PECOS PAC ID: 9638536410
Enrollment ID: I20241216003281

Medical Identifiers

Medical identifiers for Phyllis Adolphus Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679114805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4704184714 (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. Phyllis Adolphus Nelson allows following entities to bill medicare on her behalf.

Entity Name	New Life Alternatives Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033759659 PECOS PAC ID: 7810386976 Enrollment ID: O20211201001531

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. Phyllis Adolphus Nelson 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
Phyllis Adolphus Nelson, 362 E Troy St Uppr, Ferndale, MI 48220-2851 Ph: (313) 404-0761	Phyllis Adolphus Nelson, 362 E Troy St Uppr, Ferndale, MI 48220-2851 Ph: (313) 404-0761

Reviews and Comments

Family Medicine Doctors in Ferndale, MI

Robert C Levine, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 911 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-336-4000 Fax: 248-336-9137
Gurudarshan S Khalsa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 484 Academy St, Ferndale, MI 48220 Phone: 248-541-4834
Kristina Le, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10300 W 8 Mile Rd, Ferndale, MI 48220 Phone: 248-398-3200 Fax: 248-691-4963
Anna Marie Farhat, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-336-4000
Susan Beth Tam, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-336-4000 Fax: 248-336-9137
Jeanette Anuddin Cruz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 E 9 Mile Rd, Ferndale, MI 48220 Phone: 248-336-4000

Phyllis Adolphus Nelson, - Medicare Family Medicine in Ferndale, MI