Jaclyn Esther Michniak, in South Lyon, MI - Medicare Nurse Practitioner

Jaclyn Esther Michniak, is a medicare enrolled "Nurse Practitioner - Family" in South Lyon, Michigan. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry Ford Health System and her current practice location is 11401 N Rushton Rd, South Lyon, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 996-0421.

Jaclyn Esther Michniak is licensed to practice in Michigan (license number 4704286575) 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 1801447768.

Contact Information

	Jaclyn Esther Michniak,
	11401 N Rushton Rd, South Lyon, MI 48178-9123
	(248) 996-0421
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Esther Michniak
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	11401 N Rushton Rd, South Lyon, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Esther Michniak graduated from nursing school in 2019

NPI Data:

NPI Number: 1801447768
Provider Enumeration Date: 09/23/2019
Last Update Date: 04/21/2025

Medicare PECOS Information:

PECOS PAC ID: 9436588654
Enrollment ID: I20200408003821

Medical Identifiers

Medical identifiers for Jaclyn Esther Michniak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801447768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704286575 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Health System	0547178311	2304

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. Jaclyn Esther Michniak allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	The Allergy Suite
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619569027 PECOS PAC ID: 1153738729 Enrollment ID: O20210326000258

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. Jaclyn Esther Michniak 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
Jaclyn Esther Michniak, 11401 N Rushton Rd, South Lyon, MI 48178-9123 Ph: (248) 996-0421	Jaclyn Esther Michniak, 11401 N Rushton Rd, South Lyon, MI 48178-9123 Ph: (248) 996-0421

Reviews and Comments

Nurse Practitioner Nurses in South Lyon, MI

Katlyn Roberts, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60160 E 8 Mile Rd, South Lyon, MI 48178 Phone: 248-431-2770
Morgan J Merrill-winowiecki, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22230 Brookfield Dr, South Lyon, MI 48178 Phone: 517-404-9555
Mrs. Angela Lee Dobbie, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22575 Deaton Dr, South Lyon, MI 48178 Phone: 248-497-0449
Melinda J Talbert, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 Annabelle Ct, South Lyon, MI 48178 Phone: 734-787-9045
Mrs. Kendal Nicole Hickoff, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10625 Swallowtail Ct, South Lyon, MI 48178 Phone: 810-410-8265
Erica Farnick, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23794 Copperwood Dr W, South Lyon, MI 48178 Phone: 248-660-3766

Jaclyn Esther Michniak, - Medicare Nurse Practitioner in South Lyon, MI