Mr Michael Poulsen, RN in Mishawaka, IN - Medicare Nurse Practitioner

Mr Michael Poulsen, RN is a medicare enrolled "Nurse Practitioner - Family" in Mishawaka, Indiana. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Paradigm Living Concepts Llc, Saint Joseph Regional Medical Center-south Bend Campus Inc and his current practice location is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-5000.

Mr Michael Poulsen is licensed to practice in Indiana (license number 71007577A) 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 1477094332.

Contact Information

	Mr Michael Poulsen, RN
	5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469
	(574) 335-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Michael Poulsen
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	5215 Holy Cross Pkwy, Mishawaka, Indiana
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:

Mr Michael Poulsen graduated from nursing school in 2017

NPI Data:

NPI Number: 1477094332
Provider Enumeration Date: 03/13/2017
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6800152661
Enrollment ID: I20171110000291

Medical Identifiers

Medical identifiers for Mr Michael Poulsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477094332	NPI	-	NPPES
1102507908	Other	IN	ANTHEM
300007316	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71007577A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Paradigm Living Concepts Llc	1355575424	8
Saint Joseph Regional Medical Center-south Bend Campus Inc	3476451790	69

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 Michael Poulsen allows following entities to bill medicare on his behalf.

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

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 Michael Poulsen 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
Mr Michael Poulsen, RN 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: (574) 335-8707	Mr Michael Poulsen, RN 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-5000

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy M Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5314 Lincolnway E, Mishawaka, IN 46544 Phone: 574-584-2812 Fax: 574-584-2813
Laura Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 W Mckinley Ave, Mishawaka, IN 46545 Phone: 574-282-3230
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556

Mr Michael Poulsen, RN - Medicare Nurse Practitioner in Mishawaka, IN