Mrs Renee Annette Mirovsky, NP in Waterford, MI

Mrs Renee Annette Mirovsky, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Waterford, Michigan. Her current practice location is 4576 W Walton Blvd, Waterford, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 673-6633.

Mrs Renee Annette Mirovsky is licensed to practice in Michigan (license number 4704195563) 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 1740461185.

Contact Information

	Mrs Renee Annette Mirovsky, NP
	4576 W Walton Blvd, Waterford, MI 48329-4077
	(248) 673-6633
	(248) 673-6677

Map and Direction

Provider's Profile

Full Name	Mrs Renee Annette Mirovsky
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4576 W Walton Blvd, Waterford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740461185
Provider Enumeration Date: 11/14/2007
Last Update Date: 11/14/2007

Medicare PECOS Information:

PECOS PAC ID: 0345251906
Enrollment ID: I20100817001545

Medical Identifiers

Medical identifiers for Mrs Renee Annette Mirovsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740461185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704195563 (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 Renee Annette Mirovsky allows following entities to bill medicare on her behalf.

Entity Name	Ascension Providence Rochester Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427171511 PECOS PAC ID: 8820994098 Enrollment ID: O20040414000188

Entity Name	North Oakland Internists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083753255 PECOS PAC ID: 8729150131 Enrollment ID: O20090113000803

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 Renee Annette Mirovsky 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 Renee Annette Mirovsky, NP 4576 W Walton Blvd, Waterford, MI 48329-4077 Ph: (248) 673-6633	Mrs Renee Annette Mirovsky, NP 4576 W Walton Blvd, Waterford, MI 48329-4077 Ph: (248) 673-6633

Reviews and Comments

Nurse Practitioner Nurses in Waterford, MI

Janetlynne Erickson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 194 Riviera Ter, Waterford, MI 48328 Phone: 248-766-9382
Donald Sallee, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 Highland Rd, Waterford, MI 48328 Phone: 248-618-6000
Danielle Lynn Elliott, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2446 Elizabeth Lake Rd, Waterford, MI 48328 Phone: 248-309-3344
Bridget Mary Hehir, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5220 Highland Rd, Suite 230, Waterford, MI 48327 Phone: 248-456-8001 Fax: 248-456-8005
Christine Glowacki, FNP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5800 Highland Rd, Waterford, MI 48327 Phone: 248-290-5700
Sophia Abraham, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5758 Cooley Lake Rd, Waterford, MI 48327 Phone: 855-466-3631 Fax: 810-244-0226
Tiffany Nicole Gerke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2561 Elizabeth Lake Rd, Waterford, MI 48328 Phone: 248-682-3300

Mrs Renee Annette Mirovsky, NP - Medicare Nurse Practitioner in Waterford, MI