Ryan Wendell Nowatzke, MD is a medicare enrolled "Anesthesiology" physician in Birmingham, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc and his current practice location is
2351 Dorchester Rd, Birmingham, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 649-8916.
Ryan Wendell Nowatzke is licensed to practice in Michigan (license number 4301115667) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477046589.
Physician's Profile
| Full Name | Ryan Wendell Nowatzke |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 6 Years |
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| Location | 2351 Dorchester Rd, Birmingham, Michigan |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ryan Wendell Nowatzke attended and graduated from Michigan State University College Of Human Medicine in 2018
NPI Data:
- NPI Number: 1477046589
- Provider Enumeration Date: 06/13/2018
- Last Update Date: 06/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840547980
- Enrollment ID: I20220429000370
Medical Identifiers
Medical identifiers for Ryan Wendell Nowatzke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477046589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 4301115667 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 526 |
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. Ryan Wendell Nowatzke allows following entities to bill medicare on his behalf.
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990 |
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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. Ryan Wendell Nowatzke 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 |
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Ryan Wendell Nowatzke, MD
3601 W 13 Mile Rd,
Royal Oak, MI 48073-6712
Ph: () - | Ryan Wendell Nowatzke, MD
2351 Dorchester Rd,
Birmingham, MI 48009-5909
Ph: (734) 649-8916 |
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