Keara J Marks, - Medicare Nurse Practitioner in Detroit, MI

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Keara J Marks, is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. Her current practice location is 2425 Tuxedo St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 484-5830.

Keara J Marks is licensed to practice in Michigan (license number 4704309972) 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 1720757628.

Contact Information

Keara J Marks,
2425 Tuxedo St,
Detroit, MI 48206-1222
(313) 484-5830
Not Available

Map and Direction




Provider's Profile

Full NameKeara J Marks
GenderFemale
SpecialityNurse Practitioner - Family
Location2425 Tuxedo St, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720757628
  • Provider Enumeration Date: 09/13/2021
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628475571
  • Enrollment ID: I20210921000859

Medical Identifiers

Medical identifiers for Keara J Marks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720757628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704309972 (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. Keara J Marks allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104900455
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000341
Entity NameMolina Care Connections, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180320001095
Entity NameHenry Ford Health System-school Based Health Initiative
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104010578
PECOS PAC ID: 3072875517
Enrollment ID: O20180322000407

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. Keara J Marks 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 AddressPractice Location Address
Keara J Marks,
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: Not Available		Keara J Marks,
2425 Tuxedo St,
Detroit, MI 48206-1222

Ph: (313) 484-5830

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.