Nicole Kanomata, FNP in Manistee, MI - Medicare Nurse Practitioner

Nicole Kanomata, FNP is a medicare enrolled "Nurse Practitioner - Family" in Manistee, Michigan. Her current practice location is 1465 E Parkdale Ave, Manistee, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 876-6421.

Nicole Kanomata is licensed to practice in Michigan (license number F10220404) 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 1366165102.

Contact Information

	Nicole Kanomata, FNP
	1465 E Parkdale Ave, Manistee, MI 49660-9709
	(231) 876-6421
	(231) 876-6430

Map and Direction

Provider's Profile

Full Name	Nicole Kanomata
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1465 E Parkdale Ave, Manistee, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366165102
Provider Enumeration Date: 09/26/2022
Last Update Date: 01/15/2025

Medicare PECOS Information:

PECOS PAC ID: 5092184259
Enrollment ID: I20221209000521

Medical Identifiers

Medical identifiers for Nicole Kanomata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366165102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F10220404 (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. Nicole Kanomata allows following entities to bill medicare on her behalf.

Entity Name	Munson Healthcare Cadillac
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808

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. Nicole Kanomata 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
Nicole Kanomata, FNP 1105 Sixth St, Traverse City, MI 49684-2386 Ph: () -	Nicole Kanomata, FNP 1465 E Parkdale Ave, Manistee, MI 49660-9709 Ph: (231) 876-6421

Reviews and Comments

Nurse Practitioner Nurses in Manistee, MI

Tracy Robinson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1550 Fax: 231-398-1691
Jesse Leah Keson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1465 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1000
Megan Michelle Vansickle, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Government Center Dr, Manistee, MI 49660 Phone: 231-723-8299
Stacey Bonecutter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 E Parkdale Ave, Ste 3, Manistee, MI 49660 Phone: 231-398-9536 Fax: 231-398-9541
Keri Ann Foster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 231-723-3567
James Barczewski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2198 Us 31 S, Manistee, MI 49660 Phone: 231-655-3672 Fax: 231-723-1735
Elizabeth Foster, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1780

Nicole Kanomata, FNP - Medicare Nurse Practitioner in Manistee, MI