Megan Fridley, in Detroit, MI - Medicare Nurse Practitioner

Megan Fridley, is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. Her current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 343-4546.

Megan Fridley is licensed to practice in Michigan (license number 4704295736) 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 1134682149.

Contact Information

	Megan Fridley,
	22101 Moross Rd, Detroit, MI 48236-2148
	(313) 343-4546
	Not Available

Map and Direction

Provider's Profile

Full Name	Megan Fridley
Gender	Female
Speciality	Nurse Practitioner
Location	22101 Moross Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134682149
Provider Enumeration Date: 04/08/2019
Last Update Date: 05/16/2025

Medicare PECOS Information:

PECOS PAC ID: 6608305339
Enrollment ID: I20250124003328

Medical Identifiers

Medical identifiers for Megan Fridley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134682149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704295736 (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. Megan Fridley allows following entities to bill medicare on her behalf.

Entity Name	Great Lakes Physiatrists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811096548 PECOS PAC ID: 1153217278 Enrollment ID: O20040319000385

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. Megan Fridley 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
Megan Fridley, 22101 Moross Rd, Detroit, MI 48236-2148 Ph: () -	Megan Fridley, 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-4546

Reviews and Comments

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Megan Fridley, - Medicare Nurse Practitioner in Detroit, MI