Tracy Bosanko, PMHNP in Livonia, MI - Medicare Registered Nurse

Tracy Bosanko, PMHNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Livonia, Michigan. Her current practice location is 17177 N Laurel Park Dr Ste 131, Livonia, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 462-3210.

Tracy Bosanko is licensed to practice in Michigan (license number 4704329968) 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 1184445264.

Contact Information

	Tracy Bosanko, PMHNP
	17177 N Laurel Park Dr Ste 131, Livonia, MI 48152-3952
	(734) 462-3210
	(734) 462-1024

Map and Direction

Provider's Profile

Full Name	Tracy Bosanko
Gender	Female
Speciality	Registered Nurse - Psychiatric/mental Health, Adult
Location	17177 N Laurel Park Dr Ste 131, Livonia, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184445264
Provider Enumeration Date: 10/21/2024
Last Update Date: 06/06/2025

Medicare PECOS Information:

PECOS PAC ID: 3971032806
Enrollment ID: I20250122002742

Medical Identifiers

Medical identifiers for Tracy Bosanko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184445264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	4704329968 (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. Tracy Bosanko allows following entities to bill medicare on her behalf.

Entity Name	Victor M. Cruz Md, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023036514 PECOS PAC ID: 3375604952 Enrollment ID: O20081202000484

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. Tracy Bosanko 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
Tracy Bosanko, PMHNP 5842 Hathaway Rd, Canton, MI 48187-5609 Ph: (734) 536-3043	Tracy Bosanko, PMHNP 17177 N Laurel Park Dr Ste 131, Livonia, MI 48152-3952 Ph: (734) 462-3210

Reviews and Comments

Registered Nurse Nurses in Livonia, MI

Mrs. Brooke Justis, CNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19000 St Joes Pkwy Ste 160, Livonia, MI 48152 Phone: 734-884-5200 Fax: 734-466-5637
Susan Campitelle, ANP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 19000 St Joes Pkwy Ste 330, Livonia, MI 48152 Phone: 734-884-5263 Fax: 734-884-5264
Veronica Kelty, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800
Jordan Marie Richter, AGPC NP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 14100 Newburgh Rd, Livonia, MI 48154 Phone: 734-742-1150
Kristin Kentros, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150 Phone: 734-458-4601
Ms. Dawn Huff, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 37771 7 Mile Rd, Livonia, MI 48152 Phone: 248-599-2410 Fax: 248-247-1025
Mrs. Emma Kate Rimatzki, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11659 Roselinda Dr, Livonia, MI 48150 Phone: 734-812-9271

Tracy Bosanko, PMHNP - Medicare Registered Nurse in Livonia, MI