Phyllis Adolphus Nelson, PMHNP-C - Medicare Nurse Practitioner in Berkley, MI

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Phyllis Adolphus Nelson, PMHNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berkley, Michigan. Her current practice location is 3281 Coolidge Hwy, Berkley, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 915-9138.

Phyllis Adolphus Nelson is licensed to practice in Michigan (license number 4704184714) 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 1679114805.

Contact Information

Phyllis Adolphus Nelson, PMHNP-C
3281 Coolidge Hwy,
Berkley, MI 48072-1633
(313) 915-9138
(313) 216-2776

Map and Direction




Provider's Profile

Full NamePhyllis Adolphus Nelson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3281 Coolidge Hwy, Berkley, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679114805
  • Provider Enumeration Date: 09/29/2019
  • Last Update Date: 07/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638536410
  • Enrollment ID: I20241216003281

Medical Identifiers

Medical identifiers for Phyllis Adolphus Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679114805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704184714 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704184714 (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. Phyllis Adolphus Nelson allows following entities to bill medicare on her behalf.
Entity NameNew Life Alternatives Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033759659
PECOS PAC ID: 7810386976
Enrollment ID: O20211201001531

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. Phyllis Adolphus Nelson 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
Phyllis Adolphus Nelson, PMHNP-C
1941 Orleans St, Apt 632,
Detroit, MI 48207-2754

Ph: (248) 907-4970		Phyllis Adolphus Nelson, PMHNP-C
3281 Coolidge Hwy,
Berkley, MI 48072-1633

Ph: (313) 915-9138

Reviews and Comments


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Sandy Aller,
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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.