Melissa Clisch, FNP in Canton, MI - Medicare Nurse Practitioner

Melissa Clisch, FNP is a medicare enrolled "Nurse Practitioner" in Canton, 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 Henry Ford Urgent Care and her current practice location is 43821 Ford Rd, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 656-1021.

Melissa Clisch is licensed to practice in Michigan (license number 4704316144) 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 1902436447.

Contact Information

	Melissa Clisch, FNP
	43821 Ford Rd, Canton, MI 48187-3122
	(734) 656-1021
	(734) 656-1022

Map and Direction

Provider's Profile

Full Name	Melissa Clisch
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	43821 Ford Rd, Canton, 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:

Melissa Clisch graduated from nursing school in 2019

NPI Data:

NPI Number: 1902436447
Provider Enumeration Date: 01/23/2020
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 6507293123
Enrollment ID: I20200220002080

Medical Identifiers

Medical identifiers for Melissa Clisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902436447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704316144 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Urgent Care	6901296110	78

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. Melissa Clisch allows following entities to bill medicare on her behalf.

Entity Name	Michigan Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982060935 PECOS PAC ID: 8820396419 Enrollment ID: O20160414001942

Entity Name	Nextcare Michigan Providers Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972106938 PECOS PAC ID: 5395157218 Enrollment ID: O20201218000348

Entity Name	Henry Ford Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184389876 PECOS PAC ID: 6901296110 Enrollment ID: O20211202000908

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. Melissa Clisch 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
Melissa Clisch, FNP 43821 Ford Rd, Canton, MI 48187-3122 Ph: (734) 656-1021	Melissa Clisch, FNP 43821 Ford Rd, Canton, MI 48187-3122 Ph: (734) 656-1021

Reviews and Comments

Nurse Practitioner Nurses in Canton, MI

Lucinda Pryor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1161 Stacy Dr, Canton, MI 48188 Phone: 313-740-5358
Wendy Storey, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895
Molly Mcintyre, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895
Patricia Reckling, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895
Jaclyn Riley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187 Phone: 313-550-3353
Mrs. Theodora Chukwudi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45300 Cherry Hill Rd, Canton, MI 48187 Phone: 734-981-3968
Jennifer Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187 Phone: 734-641-3000

Melissa Clisch, FNP - Medicare Nurse Practitioner in Canton, MI