Austin Polutanovich, in West Bloomfield, MI - Medicare Nurse Practitioner

Austin Polutanovich, is a medicare enrolled "Nurse Practitioner - Acute Care" in West Bloomfield, Michigan. He went to University Of Michigan Medical School and graduated in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jawad A Shah, Md Pc and his current practice location is 6777 W Maple Rd, West Bloomfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 661-6466.

Austin Polutanovich is licensed to practice in Michigan (license number 4704341665) 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 1871339820.

Contact Information

	Austin Polutanovich,
	6777 W Maple Rd, West Bloomfield, MI 48322-3013
	(248) 661-6466
	Not Available

Map and Direction

Provider's Profile

Full Name	Austin Polutanovich
Gender	Male
Speciality	Nurse Practitioner
Experience	2 Years
Location	6777 W Maple Rd, West Bloomfield, Michigan
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:

Austin Polutanovich attended and graduated from University Of Michigan Medical School in 2024

NPI Data:

NPI Number: 1871339820
Provider Enumeration Date: 07/08/2024
Last Update Date: 01/19/2026

Medicare PECOS Information:

PECOS PAC ID: 2860930450
Enrollment ID: I20240814001328

Medical Identifiers

Medical identifiers for Austin Polutanovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871339820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704341665 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Michigan Surgical Hospital Llc	Warren, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jawad A Shah, Md Pc	5799779633	71

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. Austin Polutanovich allows following entities to bill medicare on his behalf.

Entity Name	Jawad A Shah, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798

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. Austin Polutanovich 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
Austin Polutanovich, 1092 Oregon Blvd, Waterford, MI 48327-3345 Ph: (810) 394-1334	Austin Polutanovich, 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 661-6466

Reviews and Comments

Nurse Practitioner Nurses in West Bloomfield, MI

Alyssa Morici, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7001 Orchard Lake Rd Ste 410c, West Bloomfield, MI 48322 Phone: 248-571-3600
Alexsandra Aquila Lachance, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd Ste 2000, West Bloomfield, MI 48323 Phone: 248-624-9900 Fax: 248-896-5450
Sandra Oliver-mcneil, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6450 Farmington Rd Ste 200, West Bloomfield, MI 48322 Phone: 248-788-4278 Fax: 248-788-2001
Mrs. Dorota Meller Klenk, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6777 W. Maple Rd, Dept Of Surgery, West Bloomfield, MI 48322 Phone: 248-910-0061 Fax: 248-849-3230
Lana Turbovsky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 Orchard Lake Rd Ste 210, West Bloomfield, MI 48322 Phone: 248-757-2410 Fax: 248-757-2412
Nicole Kajy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5254 Waterview Dr, West Bloomfield, MI 48323 Phone: 248-683-2571
Morgan Alyse Braman, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6667 Orchard Lake Rd, West Bloomfield, MI 48322 Phone: 248-206-8950 Fax: 248-206-8951

Austin Polutanovich, - Medicare Nurse Practitioner in West Bloomfield, MI