Jillian N Petkus, FNP-BC in Oxford, MI - Medicare Nurse Practitioner

Jillian N Petkus, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Oxford, Michigan. Her current practice location is 72 S Washington St, Oxford, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 236-8333.

Jillian N Petkus is licensed to practice in Michigan (license number 4704266490) 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 1174879951.

Contact Information

	Jillian N Petkus, FNP-BC
	72 S Washington St, Oxford, MI 48371-6421
	(248) 236-8333
	(248) 236-8666

Map and Direction

Provider's Profile

Full Name	Jillian N Petkus
Gender	Female
Speciality	Nurse Practitioner - Family
Location	72 S Washington St, Oxford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174879951
Provider Enumeration Date: 07/30/2012
Last Update Date: 08/06/2014

Medicare PECOS Information:

PECOS PAC ID: 0648411751
Enrollment ID: I20130731000761

Medical Identifiers

Medical identifiers for Jillian N Petkus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174879951	NPI	-	NPPES
1700036936	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704266490 (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. Jillian N Petkus allows following entities to bill medicare on her behalf.

Entity Name	Oxford Urgent Care Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700036936 PECOS PAC ID: 7214094291 Enrollment ID: O20090318000322

Entity Name	Hometown Urgent Care Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20121204000095

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. Jillian N Petkus 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
Jillian N Petkus, FNP-BC 215 E Auburn Rd, Rochester Hills, MI 48307-5260 Ph: (248) 853-2009	Jillian N Petkus, FNP-BC 72 S Washington St, Oxford, MI 48371-6421 Ph: (248) 236-8333

Reviews and Comments

Nurse Practitioner Nurses in Oxford, MI

Kenneth Michael Walter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 S Washington St, Suite 102, Oxford, MI 48371 Phone: 248-236-8333 Fax: 248-236-8666
Alyssa Marie Dal Pra, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 S Lapeer Rd Ste D, Oxford, MI 48371 Phone: 248-274-6066 Fax: 248-278-4876
Mrs. Mary Josephine Krause, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 N Lapeer Rd, Oxford, MI 48371 Phone: 248-338-5517 Fax: 248-628-8495
Ms. Sarah Marie Fitzpatrick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1070 Brookside Ct, Oxford, MI 48371 Phone: 248-605-1310
Ashley Weaver, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 S Lapeer Rd Ste D, Oxford, MI 48371 Phone: 248-274-6066 Fax: 248-278-4876
Mrs. Larissa S Sultan, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Willow Lake Dr, Oxford, MI 48371 Phone: 248-672-0526

Jillian N Petkus, FNP-BC - Medicare Nurse Practitioner in Oxford, MI