Mrs Natalie Marie Kennaw, NP in Detroit, MI - Medicare Nurse Practitioner

Mrs Natalie Marie Kennaw, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 874-8323.

Mrs Natalie Marie Kennaw is licensed to practice in Michigan (license number 4704287750) 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 1215437900.

Contact Information

	Mrs Natalie Marie Kennaw, NP
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 874-8323
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Natalie Marie Kennaw
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215437900
Provider Enumeration Date: 02/19/2018
Last Update Date: 02/19/2018

Medicare PECOS Information:

PECOS PAC ID: 5193087625
Enrollment ID: I20180322000226

Medical Identifiers

Medical identifiers for Mrs Natalie Marie Kennaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215437900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	4704287750 (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 Natalie Marie Kennaw allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Henry Ford Health System-school Based Health Initiative
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104010578 PECOS PAC ID: 3072875517 Enrollment ID: O20180322000407

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 Natalie Marie Kennaw 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 Natalie Marie Kennaw, NP 21520 Chubb Rd, Northville, MI 48167-9716 Ph: (248) 345-7985	Mrs Natalie Marie Kennaw, NP 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 874-8323

Reviews and Comments

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Mrs Natalie Marie Kennaw, NP - Medicare Nurse Practitioner in Detroit, MI