Carolyn Jean Needham, FNP-C - Medicare Nurse Practitioner in Dundee, MI

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Carolyn Jean Needham, FNP-C is a medicare enrolled "Nurse Practitioner" in Dundee, Michigan. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Promedica Northwest Ohio Cardiology Consultants Llc, Promedica Northwest Ohio Cardiology Consultants Llc and her current practice location is 1234 Plank Rd, Dundee, Michigan. You can reach out to her office (for appointments etc.) via phone at (419) 344-9156.

Carolyn Jean Needham is licensed to practice in Michigan (license number 4704321112) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124898291.

Contact Information

Carolyn Jean Needham, FNP-C
1234 Plank Rd,
Dundee, MI 48131-9750
(419) 344-9156
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Jean Needham
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1234 Plank Rd, Dundee, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carolyn Jean Needham graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1124898291
  • Provider Enumeration Date: 01/08/2024
  • Last Update Date: 05/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052855566
  • Enrollment ID: I20240625004226

Medical Identifiers

Medical identifiers for Carolyn Jean Needham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124898291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704321112 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Promedica Toledo HospitalToledo, OHHospital
Promedica Monroe Regional HospitalMonroe, MIHospital
Memorial HospitalFremont, OHHospital
Wood County HospitalBowling green, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Promedica Northwest Ohio Cardiology Consultants Llc498175293869
Promedica Northwest Ohio Cardiology Consultants Llc498175293869

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. Carolyn Jean Needham allows following entities to bill medicare on her behalf.
Entity NamePromedica Northwest Ohio Cardiology Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780820555
PECOS PAC ID: 4981752938
Enrollment ID: O20090504000036

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. Carolyn Jean Needham 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 AddressPractice Location Address
Carolyn Jean Needham, FNP-C
1234 Plank Rd,
Dundee, MI 48131-9750

Ph: (419) 344-9156		Carolyn Jean Needham, FNP-C
1234 Plank Rd,
Dundee, MI 48131-9750

Ph: (419) 344-9156

Reviews and Comments


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Practice Location: 100 Powell Dr Ste 2, Dundee, MI 48131
Phone: 734-529-5900    
Katelyn Nordyke, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 120 Waterstradt Commerce Dr, Dundee, MI 48131
Phone: 734-823-5437    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.