Mr Matthew Nedwicki, PA-C - Medicare Physician Assistant in Detroit, MI

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Mr Matthew Nedwicki, PA-C is a medicare enrolled "Physician Assistant" in Detroit, Michigan. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Munson Healthcare Otsego Memorial Hospital and his current practice location is 4771 Michigan Ave, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 897-2600.

Mr Matthew Nedwicki is licensed to practice in Michigan (license number 5601007113) 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 1134520042.

Contact Information

Mr Matthew Nedwicki, PA-C
4771 Michigan Ave,
Detroit, MI 48210-3247
(313) 897-2600
(313) 897-2424

Map and Direction




Provider's Profile

Full NameMr Matthew Nedwicki
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location4771 Michigan Ave, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Matthew Nedwicki graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1134520042
  • Provider Enumeration Date: 09/10/2014
  • Last Update Date: 06/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577879758
  • Enrollment ID: I20150902002096

Medical Identifiers

Medical identifiers for Mr Matthew Nedwicki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134520042NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601007113 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren Northern MichiganPetoskey, MIHospital
Munson Healthcare Otsego Memorial HospitalGaylord, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Healthcare Otsego Memorial Hospital8325942535126

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. Mr Matthew Nedwicki allows following entities to bill medicare on his behalf.
Entity NameMunson Healthcare Otsego Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164628426
PECOS PAC ID: 8325942535
Enrollment ID: O20040305000525
Entity NameMichigan Emergency Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316968191
PECOS PAC ID: 7315927894
Enrollment ID: O20040723001095
Entity NameNorthwestern Michigan Emergency Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073597944
PECOS PAC ID: 7214933928
Enrollment ID: O20061019000359
Entity NameBay Street Orthopaedics PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174808992
PECOS PAC ID: 4688864788
Enrollment ID: O20120814000211
Entity NameEcs Northern Michigan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992231377
PECOS PAC ID: 3173892627
Enrollment ID: O20170627001889
Entity NameHawk Emergency Group, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073295135
PECOS PAC ID: 6800241050
Enrollment ID: O20231009002612
Entity NameMclaren Hospital Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942026174
PECOS PAC ID: 2365968351
Enrollment ID: O20250502001568

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. Mr Matthew Nedwicki 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
Mr Matthew Nedwicki, PA-C
1416 Erickson Rd,
Boyne City, MI 49712-9199

Ph: (313) 618-6824		Mr Matthew Nedwicki, PA-C
4771 Michigan Ave,
Detroit, MI 48210-3247

Ph: (313) 897-2600

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.