Jennifer R Idrissu, NP in Royal Oak, MI - Medicare Nurse Practitioner

Jennifer R Idrissu, NP is a medicare enrolled "Nurse Practitioner" in Royal Oak, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Michigan Kidney Consultants, P.c. and her current practice location is 3455 Starr Rd, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 288-9340.

Jennifer R Idrissu is licensed to practice in Michigan (license number 4704245483) 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 1053931873.

Contact Information

	Jennifer R Idrissu, NP
	3455 Starr Rd, Royal Oak, MI 48073-2100
	(248) 288-9340
	(248) 965-3029

Map and Direction

Provider's Profile

Full Name	Jennifer R Idrissu
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3455 Starr Rd, Royal Oak, 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:

Jennifer R Idrissu graduated from nursing school in 2019

NPI Data:

NPI Number: 1053931873
Provider Enumeration Date: 04/22/2020
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6406277334
Enrollment ID: I20200602001254

Medical Identifiers

Medical identifiers for Jennifer R Idrissu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053931873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704245483 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Michigan Kidney Consultants, P.c.	1052207115	36

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 R Idrissu allows following entities to bill medicare on her behalf.

Entity Name	Michigan Kidney Consultants, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831130723 PECOS PAC ID: 1052207115 Enrollment ID: O20040225000631

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 R Idrissu 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 R Idrissu, NP 5280 Metropolitan Pkwy, Sterling Heights, MI 48310-4005 Ph: (248) 290-3111	Jennifer R Idrissu, NP 3455 Starr Rd, Royal Oak, MI 48073-2100 Ph: (248) 288-9340

Reviews and Comments

Nurse Practitioner Nurses in Royal Oak, MI

Kelly L Hope, RN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 Phone: 248-737-4030 Fax: 248-307-7873
Mrs. Alexandra Noelle Hayosh, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-4021 Fax: 218-898-1473
Maryana H Alhindi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 Fax: 248-898-0580
Rita M Catchings, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-1010
Mrs. Kimberly Anne Fox, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1041 S Main St, Royal Oak, MI 48067 Phone: 248-280-6400
Ann Catherine Paton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Martina G Mulligan, ACNS-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000

Jennifer R Idrissu, NP - Medicare Nurse Practitioner in Royal Oak, MI