Dominic Ernest Misiak, DO - Medicare Psychiatry & Neurology in Novi, MI

Dominic Ernest Misiak, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Novi, Michigan. His current practice location is 44725 Grand River Ave Ste 104, Novi, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 882-3732.

Dominic Ernest Misiak is licensed to practice in Michigan (license number 5101026126) 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 1164982328.

Contact Information

Dominic Ernest Misiak, DO
44725 Grand River Ave Ste 104,
Novi, MI 48375-1024
(517) 882-3732
Not Available



Physician's Profile

Full NameDominic Ernest Misiak
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location44725 Grand River Ave Ste 104, Novi, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164982328
  • Provider Enumeration Date: 03/23/2019
  • Last Update Date: 11/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709117013
  • Enrollment ID: I20220113000617

Medical Identifiers

Medical identifiers for Dominic Ernest Misiak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164982328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 5101026126 (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. Dominic Ernest Misiak allows following entities to bill medicare on his behalf.
Entity NameChelsea Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912947409
PECOS PAC ID: 0648171074
Enrollment ID: O20040119000004

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Entity NameDownriver Mental Health Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533

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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. Dominic Ernest Misiak 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
Dominic Ernest Misiak, DO
44725 Grand River Ave Ste 104,
Novi, MI 48375-1024

Ph: (517) 882-3732
Dominic Ernest Misiak, DO
44725 Grand River Ave Ste 104,
Novi, MI 48375-1024

Ph: (517) 882-3732

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› Verified 1 days ago


Psychiatry & Neurology Doctors in Novi, MI

Ingrid Zoraya Martinez-lyons, M.D,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 40000 Grand River Ave Ste 306, Novi, MI 48375
Phone: 248-426-9900    Fax: 248-426-9900
Dr. Bernadette L. Angeles, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 42450 W 12 Mile Rd, 315, Novi, MI 48377
Phone: 248-513-4100    Fax: 248-513-4105
Greta Park,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 39450 W 12 Mile Rd, Novi, MI 48377
Phone: 248-344-6688    
Dr. Vijay Samuel, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 44000 W 12 Mile Rd., Ste 213, Novi, MI 48377
Phone: 248-347-8293    
Dr. Veronica Yap Tan, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 23354 Portage Way, Apt. 2212, Novi, MI 48375
Phone: 248-761-3939    
Esther O Akinyemi, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 39450 West 12 Mile Road, Columbus Center, Novi, MI 48337
Phone: 313-461-9670    

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