Brendan Pytlak, RN in West Bloomfield, MI - Medicare Registered Nurse

Brendan Pytlak, RN is a medicare enrolled "Registered Nurse" in West Bloomfield, Michigan. His current practice location is 5842 Hartwick Dr, West Bloomfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 310-2251.

Brendan Pytlak is licensed to practice in Michigan (license number 4704327400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841861879.

Contact Information

	Brendan Pytlak, RN
	5842 Hartwick Dr, West Bloomfield, MI 48324-2417
	(313) 310-2251
	Not Available

Map and Direction

Provider's Profile

Full Name	Brendan Pytlak
Gender	Male
Speciality	Registered Nurse
Location	5842 Hartwick Dr, West Bloomfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841861879
Provider Enumeration Date: 07/09/2021
Last Update Date: 07/09/2021

Medicare PECOS Information:

PECOS PAC ID: 7517320153
Enrollment ID: I20230829003294

Medical Identifiers

Medical identifiers for Brendan Pytlak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841861879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704327400 (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. Brendan Pytlak allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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. Brendan Pytlak 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
Brendan Pytlak, RN 5842 Hartwick Dr, West Bloomfield, MI 48324-2417 Ph: () -	Brendan Pytlak, RN 5842 Hartwick Dr, West Bloomfield, MI 48324-2417 Ph: (313) 310-2251

Reviews and Comments

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Brendan Pytlak, RN - Medicare Registered Nurse in West Bloomfield, MI