Doreen Toner, NP - Medicare Nurse Practitioner in Bay City, MI

Doreen Toner, NP is a medicare enrolled "Nurse Practitioner" in Bay City, Michigan. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Michigan Pain Consultants Pc and her current practice location is 4121 Shrestha Dr, Bay City, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 686-6900.

Doreen Toner is licensed to practice in Michigan (license number 4704287732) 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 1730628694.

Contact Information

Doreen Toner, NP
4121 Shrestha Dr,
Bay City, MI 48706-2171
(989) 686-6900
(989) 686-6911

Map and Direction




Provider's Profile

Full NameDoreen Toner
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location4121 Shrestha Dr, Bay City, 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:
  • Doreen Toner graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1730628694
  • Provider Enumeration Date: 02/13/2017
  • Last Update Date: 05/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658658331
  • Enrollment ID: I20170505001327

Medical Identifiers

Medical identifiers for Doreen Toner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730628694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704287732 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Michigan Pain Consultants Pc317359095710

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. Doreen Toner allows following entities to bill medicare on her behalf.
Entity NameTri-county Pain Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578529681
PECOS PAC ID: 3274427133
Enrollment ID: O20040211000584
Entity NameSouthern Michigan Pain Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538119391
PECOS PAC ID: 3173590957
Enrollment ID: O20040911000291

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. Doreen Toner 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
Doreen Toner, NP
5555 Glenwood Hills Pkwy Se Ste 2,
Grand Rapids, MI 49512-2091

Ph: (616) 940-2662
Doreen Toner, NP
4121 Shrestha Dr,
Bay City, MI 48706-2171

Ph: (989) 686-6900

Reviews and Comments


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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).

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