Maya Ghandour, NP - Medicare Nurse Practitioner in Detroit, MI

Maya Ghandour, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-2600.

Maya Ghandour is licensed to practice in Michigan (license number 4704354166) 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 1013629179.

Contact Information

Maya Ghandour, NP
2799 W Grand Blvd,
Detroit, MI 48202-2608
(313) 916-2600
Not Available



Provider's Profile

Full NameMaya Ghandour
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013629179
  • Provider Enumeration Date: 12/20/2022
  • Last Update Date: 04/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860862828
  • Enrollment ID: I20230109000927

Medical Identifiers

Medical identifiers for Maya Ghandour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013629179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704354166 (Michigan)Secondary
363LA2100XNurse Practitioner - Acute Care 4704354166 (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. Maya Ghandour allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104900455
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000341

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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. Maya Ghandour 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
Maya Ghandour, NP
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: (800) 653-6568
Maya Ghandour, NP
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (313) 916-2600

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Nurse Practitioner Nurses in Detroit, MI

Catherine Ann Wenz, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16411 Curtis St, Detroit, MI 48235
Phone: 313-838-6822    
Mikayla Spica, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Amber Marroquin, NNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    
Mrs. Ines Hurley,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3950 Beaubien St, Detroit, MI 48201
Phone: 313-745-5437    
Nicole Woznicki, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3901 Chrysler Dr, Detroit, MI 48201
Phone: 313-966-7601    
Kathleen Mclaughlin, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3980 John R, Detroit, MI 48201
Phone: 888-362-2500    
Nutrena Tate, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3901 Beaubien St, Detroit, MI 48201
Phone: 313-745-5437    

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