Colleen Ferrara, is a medicare enrolled "Nurse Practitioner" in Oakland Township, Michigan. Her current practice location is
4170 Holly Ln, Oakland Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 899-2691.
Colleen Ferrara is licensed to practice in Michigan (license number 4704243906) 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 1174187140.
Provider's Profile
| Full Name | Colleen Ferrara |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 4170 Holly Ln, Oakland Township, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174187140
- Provider Enumeration Date: 04/25/2019
- Last Update Date: 09/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587096029
- Enrollment ID: I20191121000889
Medical Identifiers
Medical identifiers for Colleen Ferrara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174187140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 4704243906 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 4704243906 (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. Colleen Ferrara allows following entities to bill medicare on her behalf.
| Entity Name | Sjmh Medical Practice-smhc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346284684
PECOS PAC ID: 8628965175
Enrollment ID: O20040301000770 |
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| Entity Name | Mid-south Home Care Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477240190
PECOS PAC ID: 4385961093
Enrollment ID: O20231211003143 |
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| Entity Name | Ih Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881432060
PECOS PAC ID: 5991165458
Enrollment ID: O20250130001591 |
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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. Colleen Ferrara 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 |
|---|
Colleen Ferrara,
4170 Holly Ln,
Oakland Township, MI 48306-4762
Ph: (586) 899-2691 | Colleen Ferrara,
4170 Holly Ln,
Oakland Township, MI 48306-4762
Ph: (586) 899-2691 |
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