Dr Mallory M Radzik, FNP in Grosse Pointe, MI

Dr Mallory M Radzik, FNP is a medicare enrolled "Nurse Practitioner - Family" in Grosse Pointe, Michigan. Her current practice location is 17410 Mack Ave # 1147, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 864-2887.

Dr Mallory M Radzik is licensed to practice in Michigan (license number 4704309438) 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 1659098036.

Contact Information

	Dr Mallory M Radzik, FNP
	17410 Mack Ave # 1147, Grosse Pointe, MI 48230-6228
	(586) 864-2887
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Mallory M Radzik
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17410 Mack Ave # 1147, Grosse Pointe, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659098036
Provider Enumeration Date: 10/26/2022
Last Update Date: 06/19/2026

Medicare PECOS Information:

PECOS PAC ID: 4688115751
Enrollment ID: I20240917003859

Medical Identifiers

Medical identifiers for Dr Mallory M Radzik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659098036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704309438 (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. Dr Mallory M Radzik allows following entities to bill medicare on her behalf.

Entity Name	Mid-south Home Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477240190 PECOS PAC ID: 4385961093 Enrollment ID: O20231211003143

Entity Name	Ih Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881432060 PECOS PAC ID: 5991165458 Enrollment ID: O20250130001591

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. Dr Mallory M Radzik 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
Dr Mallory M Radzik, FNP 17410 Mack Ave # 1147, Grosse Pointe, MI 48230-6228 Ph: (586) 864-2887	Dr Mallory M Radzik, FNP 17410 Mack Ave # 1147, Grosse Pointe, MI 48230-6228 Ph: (586) 864-2887

Reviews and Comments

Nurse Practitioner Nurses in Grosse Pointe, MI

Ms. Rosanne Marie Skonieczny, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1605 Fax: 313-343-1934
Ms. Corie Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 120, Grosse Pointe, MI 48230 Phone: 586-498-4400
Molly Czoykowski, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17120 Kercheval Ave, Grosse Pointe, MI 48230 Phone: 313-886-3300
Michele Gamel, DNP, RN, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 810-305-1455
Abbey Shay, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17120 Kercheval Ave, Grosse Pointe, MI 48230 Phone: 866-389-2727
Esther Malka Selik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000
Mrs. Christina Tharrett, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000

Dr Mallory M Radzik, FNP - Medicare Nurse Practitioner in Grosse Pointe, MI