Mrs Dianna Grace Ehlert, MSN, RN, AGACNP-BC in Detroit, MI

Mrs Dianna Grace Ehlert, MSN, RN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Detroit, Michigan. She went to University Of Toledo College Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc and her current practice location is 311 Mack Ave Ste 64100, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 832-0650.

Mrs Dianna Grace Ehlert is licensed to practice in Michigan (license number 4704301257) 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 1336695923.

Contact Information

	Mrs Dianna Grace Ehlert, MSN, RN, AGACNP-BC
	311 Mack Ave Ste 64100, Detroit, MI 48201-2466
	(313) 832-0650
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Dianna Grace Ehlert
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	311 Mack Ave Ste 64100, Detroit, 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:

Mrs Dianna Grace Ehlert attended and graduated from University Of Toledo College Of Medicine in 2013

NPI Data:

NPI Number: 1336695923
Provider Enumeration Date: 09/01/2016
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1850676180
Enrollment ID: I20220803003554

Medical Identifiers

Medical identifiers for Mrs Dianna Grace Ehlert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336695923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704301257 (Michigan)	Secondary
163WC0200X	Registered Nurse - Critical Care Medicine	65285 (New Mexico)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	4704301257 (Michigan)	Secondary
363L00000X	Nurse Practitioner	0024183682 (Virginia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	4704301257 (Michigan)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	65285 (New Mexico)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	4704301257 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bon Secours Medical Group Hampton Roads Specialty Care Llc	3173955671	159

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 Dianna Grace Ehlert allows following entities to bill medicare on her behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

Entity Name	Bon Secours Medical Group Hampton Roads Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258

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 Dianna Grace Ehlert 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 Dianna Grace Ehlert, MSN, RN, AGACNP-BC 311 Mack Ave., Ste 6411, Vascular Surgery, Detroit, MI 48201-2466 Ph: (734) 682-3309	Mrs Dianna Grace Ehlert, MSN, RN, AGACNP-BC 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 Ph: (313) 832-0650

Reviews and Comments

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Mrs Dianna Grace Ehlert, MSN, RN, AGACNP-BC - Medicare Nurse Practitioner in Detroit, MI