Jennifer Agrusa, DNP is a medicare enrolled "Family Medicine" in Sterling Heights, Michigan. Her current practice location is
43455 Schoenherr Rd, Sterling Heights, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 726-4823.
Jennifer Agrusa is licensed to practice in Michigan (license number 1639105695) 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 1598141822.
Provider's Profile
| Full Name | Jennifer Agrusa |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 43455 Schoenherr Rd, Sterling Heights, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598141822
- Provider Enumeration Date: 08/10/2015
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 9931415429
- Enrollment ID: I20150828001201
Medical Identifiers
Medical identifiers for Jennifer Agrusa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598141822 | NPI | - | NPPES |
| 1598141822 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | 4704278593 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 1639105695 (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. Jennifer Agrusa allows following entities to bill medicare on her behalf.
| Entity Name | Vpa Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102 |
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| Entity Name | Silver Pine Medical Group Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639105695 PECOS PAC ID: 8325020332 Enrollment ID: O20040603000737 |
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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. Jennifer Agrusa 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 |
Jennifer Agrusa, DNP 43455 Schoenherr Rd, Sterling Heights, MI 48313-1951 Ph: (586) 726-4823 | Jennifer Agrusa, DNP 43455 Schoenherr Rd, Sterling Heights, MI 48313-1951 Ph: (586) 726-4823 |
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