Pallav Deka, PHD, AGACNP-BC - Medicare Nurse Practitioner in Holt, MI

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Pallav Deka, PHD, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Holt, Michigan. His current practice location is 5091 Willoughby Rd, Holt, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 694-2144.

Pallav Deka is licensed to practice in Michigan (license number 4704350380) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861926636.

Contact Information

Pallav Deka, PHD, AGACNP-BC
5091 Willoughby Rd,
Holt, MI 48842-1054
(517) 694-2144
(517) 694-7469

Map and Direction




Provider's Profile

Full NamePallav Deka
GenderMale
SpecialityNurse Practitioner
Location5091 Willoughby Rd, Holt, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861926636
  • Provider Enumeration Date: 04/18/2017
  • Last Update Date: 08/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486986379
  • Enrollment ID: I20191025001403

Medical Identifiers

Medical identifiers for Pallav Deka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861926636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 4704350380 (Michigan)Secondary
363L00000XNurse Practitioner 4704350380 (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. Pallav Deka allows following entities to bill medicare on his behalf.
Entity NameCapital Cardiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710183660
PECOS PAC ID: 2567562291
Enrollment ID: O20070711000242
Entity NameVituity - Michigan Hospitalists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487278156
PECOS PAC ID: 2365860996
Enrollment ID: O20200915000938

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. Pallav Deka 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 AddressPractice Location Address
Pallav Deka, PHD, AGACNP-BC
804 Service Rd Ste A109b,
East Lansing, MI 48824-7015

Ph: (517) 694-2144		Pallav Deka, PHD, AGACNP-BC
5091 Willoughby Rd,
Holt, MI 48842-1054

Ph: (517) 694-2144

Reviews and Comments


Nurse Practitioner Nurses in Holt, MI

Mrs. Kelly Ann Baird-cox, RN, MSN, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Willoughby Rd, Suite 3, Holt, MI 48842
Phone: 517-268-6627    
Jiyeon Kim, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2380 Cedar St Ste 100, Holt, MI 48842
Phone: 517-742-4900    
Jennah Eseka, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2073 Aurelius Rd, Holt, MI 48842
Phone: 517-694-1466    
Irene Chebiwot Maiyo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2631 Sanibel Holw, Holt, MI 48842
Phone: 517-528-2852    
Maha Gebril,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2585 Kate St, Holt, MI 48842
Phone: 517-703-3771    
Mrs. Mary Elizabeth Jacobs, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4221 Charlar Dr, Holt, MI 48842
Phone: 517-694-7600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.