Brandon Michael Tatar, MSN, APRN, ACCNS-AG is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Warren, Michigan. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). His current practice location is
11800 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 854-1108.
Brandon Michael Tatar is licensed to practice in Michigan (license number 4704363198) 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 1003513730.
Provider's Profile
| Full Name | Brandon Michael Tatar |
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| Gender | Male |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 4 Years |
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| Location | 11800 E 12 Mile Rd, Warren, 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:
- Brandon Michael Tatar graduated from nursing school in 2022
NPI Data:
- NPI Number: 1003513730
- Provider Enumeration Date: 02/13/2023
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870063571
- Enrollment ID: I20260522001627
Medical Identifiers
Medical identifiers for Brandon Michael Tatar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003513730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2100X | Clinical Nurse Specialist - Acute Care | 4704363198 (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. Brandon Michael Tatar allows following entities to bill medicare on his behalf.
| Entity Name | Henry Ford Health St. John Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700831500
PECOS PAC ID: 3173424082
Enrollment ID: O20040223000461 |
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| Entity Name | Henry Ford Health Macomb Oakland Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578696092
PECOS PAC ID: 7315859725
Enrollment ID: O20041102000607 |
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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. Brandon Michael Tatar 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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Brandon Michael Tatar, MSN, APRN, ACCNS-AG
53460 Meadow View Ln,
New Baltimore, MI 48047-5841
Ph: (586) 854-1108 | Brandon Michael Tatar, MSN, APRN, ACCNS-AG
11800 E 12 Mile Rd,
Warren, MI 48093-3472
Ph: (586) 854-1108 |
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