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

Tracy Bosanko, PMHNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Canton, Michigan. Her current practice location is 5842 Hathaway Rd, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 536-3043.

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
	5842 Hathaway Rd, Canton, MI 48187-5609
	(734) 536-3043
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy Bosanko
Gender	Female
Speciality	Registered Nurse - Psychiatric/mental Health, Adult
Location	5842 Hathaway Rd, Canton, 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: 12/18/2024

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 5842 Hathaway Rd, Canton, MI 48187-5609 Ph: (734) 536-3043

Reviews and Comments

Registered Nurse Nurses in Canton, MI

Ms. Denise R Boyle, MSN-BCFNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 6231 Canton Center Road, Ste 101, Canton, MI 48187 Phone: 734-459-7444 Fax: 734-459-7755
Vanessa Lynn Sanders, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 43825 Michigan Ave, Canton, MI 48188 Phone: 734-397-3088
Jennifer Anne Young, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8467 Honey Ln # 19, Canton, MI 48187 Phone: 734-404-5344
Ms. Andrea D Mccormick, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6223 N Canton Center Rd Ste 201, Canton, MI 48187 Phone: 734-844-6533
Mr. Cajetan Kimfon, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8258 Honeytree Blvd, Canton, MI 48187 Phone: 313-960-0934
Pardeep Gill, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8217 N Pointe Ct, Canton, MI 48187 Phone: 734-331-5231
Emily Grace-cox, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5900 N Lotz Rd, Canton, MI 48187 Phone: 734-394-4500

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