Ms Nicolette Sylvia Kowal, FNP-BC, ACNS-BC is a medicare enrolled "Nurse Practitioner - Family" in New Baltimore, Michigan. She went to Wayne State University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mclaren Health Management Group and her current practice location is
50761 Baltimore St, New Baltimore, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 484-9688.
Ms Nicolette Sylvia Kowal is licensed to practice in Michigan (license number 4704175100) 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 1770685620.
Provider's Profile
Full Name | Ms Nicolette Sylvia Kowal |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 30 Years |
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Location | 50761 Baltimore St, New Baltimore, Michigan |
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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:
- Ms Nicolette Sylvia Kowal attended and graduated from Wayne State University School Of Medicine in 1994
NPI Data:
- NPI Number: 1770685620
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658433156
- Enrollment ID: I20081217000350
Medical Identifiers
Medical identifiers for Ms Nicolette Sylvia Kowal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770685620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031410 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP71014218A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704175100 (Michigan) | Primary |
363LF0000X | Nurse Practitioner - Family | APRN11024553 (Florida) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mclaren Health Management Group | 8628985215 | 19 |
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. Ms Nicolette Sylvia Kowal allows following entities to bill medicare on her behalf.
Entity Name | Mclaren Health Management Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912072349 PECOS PAC ID: 8628985215 Enrollment ID: O20040617000043 |
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Entity Name | Healthland Housecall Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760029581 PECOS PAC ID: 1052741451 Enrollment ID: O20200427002175 |
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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. Ms Nicolette Sylvia Kowal 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 |
Ms Nicolette Sylvia Kowal, FNP-BC, ACNS-BC 50761 Baltimore St, New Baltimore, MI 48047-1669 Ph: (586) 484-9688 | Ms Nicolette Sylvia Kowal, FNP-BC, ACNS-BC 50761 Baltimore St, New Baltimore, MI 48047-1669 Ph: (586) 484-9688 |
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