Mrs Alicia Anne Prucknic, RN, BSN, CCM in Brownstown Twp, MI

Mrs Alicia Anne Prucknic, RN, BSN, CCM is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brownstown Twp, Michigan. Her current practice location is 23772 West Rd # 262, Brownstown Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 788-9111.

Mrs Alicia Anne Prucknic is licensed to practice in Michigan (license number 4704244622) 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 1336814599.

Contact Information

	Mrs Alicia Anne Prucknic, RN, BSN, CCM
	23772 West Rd # 262, Brownstown Twp, MI 48183-3050
	(734) 788-9111
	(734) 941-3264

Map and Direction

Provider's Profile

Full Name	Mrs Alicia Anne Prucknic
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	23772 West Rd # 262, Brownstown Twp, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336814599
Provider Enumeration Date: 08/10/2021
Last Update Date: 02/13/2025

Medicare PECOS Information:

PECOS PAC ID: 3678013885
Enrollment ID: I20240913001543

Medical Identifiers

Medical identifiers for Mrs Alicia Anne Prucknic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336814599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0400X	Registered Nurse - Case Management	4704244622 (Michigan)	Secondary
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	4704244622 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704244622 (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. Mrs Alicia Anne Prucknic allows following entities to bill medicare on her behalf.

Entity Name	Commerce Sports And Spine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720629157 PECOS PAC ID: 3870926397 Enrollment ID: O20191213000826

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. Mrs Alicia Anne Prucknic 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
Mrs Alicia Anne Prucknic, RN, BSN, CCM 23772 West Rd # 262, Brownstown Twp, MI 48183-3050 Ph: (734) 788-9111	Mrs Alicia Anne Prucknic, RN, BSN, CCM 23772 West Rd # 262, Brownstown Twp, MI 48183-3050 Ph: (734) 788-9111

Reviews and Comments

Nurse Practitioner Nurses in Brownstown Twp, MI

Carolyn Pilzninski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19135 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-362-9032 Fax: 734-362-9001
Mrs. Caitlin Marie Flis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19725 Allen Rd, Brownstown Twp, MI 48183 Phone: 734-479-7746
Jill Marie Ciszewski, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27278 Roney Ave, Brownstown Twp, MI 48183 Phone: 734-552-6526
Alissa Becker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19725 Allen Rd, Ste 102, Brownstown Twp, MI 48183 Phone: 734-479-7246 Fax: 734-479-0214
Seija Olivier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19725 Allen Rd Ste 101, Brownstown Twp, MI 48183 Phone: 734-479-2371 Fax: 734-479-2451
Lynnette Waara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183 Phone: 888-854-1397
Mrs. Jeanine Rose Ursing, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19725 Allen Rd, Suite 101, Brownstown Twp, MI 48183 Phone: 734-479-2371

Mrs Alicia Anne Prucknic, RN, BSN, CCM - Medicare Nurse Practitioner in Brownstown Twp, MI