Moises Fajardo, in Clawson, MI - Medicare Nurse Practitioner

Moises Fajardo, is a medicare enrolled "Nurse Practitioner" in Clawson, Michigan. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Beaumont Medical Group- Specialty Services and his current practice location is 1402 W 14 Mile Rd, Clawson, Michigan. You can reach out to his office (for appointments etc.) via phone at (866) 389-2727.

Moises Fajardo is licensed to practice in Michigan (license number 4704267838) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740683069.

Contact Information

	Moises Fajardo,
	1402 W 14 Mile Rd, Clawson, MI 48017-1499
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Moises Fajardo
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1402 W 14 Mile Rd, Clawson, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Moises Fajardo graduated from nursing school in 2014

NPI Data:

NPI Number: 1740683069
Provider Enumeration Date: 10/01/2014
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1052633690
Enrollment ID: I20141209002180

Medical Identifiers

Medical identifiers for Moises Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740683069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704267838 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704267838 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital, Troy	Troy, MI	Hospital
Beaumont Hospital - Farmington Hills	Farmington hills, MI	Hospital
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Beaumont Hospital - Grosse Pointe	Grosse pointe, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Medical Group- Specialty Services	7214299866	804

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. Moises Fajardo allows following entities to bill medicare on his behalf.

Entity Name	John Kitzmiller M.d. Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518393800 PECOS PAC ID: 7911131297 Enrollment ID: O20130930000550

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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. Moises Fajardo 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
Moises Fajardo, 2445 Claymont Dr, Troy, MI 48098-2493 Ph: (248) 792-7114	Moises Fajardo, 1402 W 14 Mile Rd, Clawson, MI 48017-1499 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Clawson, MI

Sade Andrea Pitts, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 866-389-2727
Sheila Marie Clay, RN MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 248-435-7314
Mrs. Ashley Marie Harrison, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 W 14 Mile Rd Ste 100, Clawson, MI 48017 Phone: 248-655-1400
Mackenzie Louise Meredith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 248-435-7314
Mrs. Lisa Marie Ramesbottom, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 866-389-2727
Ms. Kristina Knechtl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 W 14 Mile Rd, Clawson, MI 48017 Phone: 248-655-1400
Mrs. Lindsey Anquetil, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402 W 14 Mile Rd, Clawson, MI 48017 Phone: 866-389-2727

Moises Fajardo, - Medicare Nurse Practitioner in Clawson, MI