Grace Luise Takish, FNP in Warren, MI - Medicare Nurse Practitioner

Grace Luise Takish, FNP is a medicare enrolled "Nurse Practitioner" in Warren, Michigan. Her current practice location is 11012 E 13 Mile Rd Ste 112, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 573-6880.

Grace Luise Takish is licensed to practice in Michigan (license number 4704318984) 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 1801627286.

Contact Information

	Grace Luise Takish, FNP
	11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546
	(586) 573-6880
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace Luise Takish
Gender	Female
Speciality	Nurse Practitioner
Location	11012 E 13 Mile Rd Ste 112, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801627286
Provider Enumeration Date: 08/08/2024
Last Update Date: 04/17/2025

Medicare PECOS Information:

PECOS PAC ID: 7315478013
Enrollment ID: I20241004003440

Medical Identifiers

Medical identifiers for Grace Luise Takish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801627286	NPI	-	NPPES
381958736	Medicaid	MI
0E06376	Other		BCBSM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704318984 (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. Grace Luise Takish allows following entities to bill medicare on her behalf.

Entity Name	Michigan Surgery Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184828451 PECOS PAC ID: 7113835075 Enrollment ID: O20040302001010

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. Grace Luise Takish 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
Grace Luise Takish, FNP Po Box 44897, Detroit, MI 48244-0897 Ph: (734) 604-1873	Grace Luise Takish, FNP 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 Ph: (586) 573-6880

Reviews and Comments

Nurse Practitioner Nurses in Warren, MI

Sharice Ratia Jhons, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27500 Dequindre Rd, Warren, MI 48092 Phone: 586-764-3465
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000
Olga Dmitryuk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400
Randon Carl Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262

Grace Luise Takish, FNP - Medicare Nurse Practitioner in Warren, MI