Channan Marie Kositzke, DNP-FNP-C in Kalamazoo, MI

Channan Marie Kositzke, DNP-FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kalamazoo, Michigan. Her current practice location is 3025 Gull Rd, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 226-8321.

Channan Marie Kositzke is licensed to practice in Michigan (license number 4704275340) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831820356.

Contact Information

	Channan Marie Kositzke, DNP-FNP-C
	3025 Gull Rd, Kalamazoo, MI 49048-1281
	(269) 226-8321
	Not Available

Map and Direction

Provider's Profile

Full Name	Channan Marie Kositzke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3025 Gull Rd, Kalamazoo, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831820356
Provider Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 9739560145
Enrollment ID: I20220718000193

Medical Identifiers

Medical identifiers for Channan Marie Kositzke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831820356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704275340 (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. Channan Marie Kositzke allows following entities to bill medicare on her behalf.

Entity Name	Ascension Borgess Lee Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763

Entity Name	Ascension Medical Group Promed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478

Entity Name	Ascension Borgess Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265517783 PECOS PAC ID: 5294645750 Enrollment ID: O20060105000102

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. Channan Marie Kositzke 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
Channan Marie Kositzke, DNP-FNP-C 3025 Gull Rd, Kalamazoo, MI 49048-1281 Ph: () -	Channan Marie Kositzke, DNP-FNP-C 3025 Gull Rd, Kalamazoo, MI 49048-1281 Ph: (269) 226-8321

Reviews and Comments

Nurse Practitioner Nurses in Kalamazoo, MI

Danielle Allman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-7654 Fax: 269-341-8294
Susan Marie Perez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641
Teagan Allison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M 124, Kalamazoo, MI 49007 Phone: 269-341-7500 Fax: 269-341-7540
Sarah J Ashley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4230 S Westnedge Ave Ste 1, Kalamazoo, MI 49008 Phone: 877-448-3627 Fax: 630-654-4253
Daniel Hodge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641
Mr. John William Hendrix Iii, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 John St Ste M-510, Kalamazoo, MI 49007 Phone: 269-341-7762
Mrs. Megan Kay Welch, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 John St Ste M-318, Kalamazoo, MI 49007 Phone: 269-349-9745 Fax: 269-349-9745

Channan Marie Kositzke, DNP-FNP-C - Medicare Nurse Practitioner in Kalamazoo, MI