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

Pallav Deka, PHD, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" 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 Name	Pallav Deka
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	5091 Willoughby Rd, Holt, Michigan
Accepts Medicare Assignments	Medicare 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: 09/19/2019

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.

Identifier	Type	State	Issuer
1861926636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	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 Name	Capital Cardiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710183660 PECOS PAC ID: 2567562291 Enrollment ID: O20070711000242

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 Address	Practice 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: Medicare Enrolled Practice Location: 2380 Cedar St Ste 100, Holt, MI 48842 Phone: 517-742-4900
Irene Chebiwot Maiyo, Nurse Practitioner Medicare: Not Enrolled in Medicare 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
Dr. Latoya Danielle Brown, AGPCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5091 Willoughby Rd, Holt, MI 48842 Phone: 517-694-2144 Fax: 517-694-7469

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